Resident to Resident Funds Transfer Request

IDAHO DEPARTMENT OF CORRECTION
Resident-to-Resident Funds Transfer Request
Resident-to-Resident Funds Transfer Request

Transferring Resident’s Information

Name: IDOC #: Last, First, Middle
Facility:

The immediate family relationship to the recipient inmate is:
Parent Sibling Spouse Child Grandparent Grandchild

Type of transfer: One-time On-going Amount:

Signature Date

Note: You must fill out a Personal Funds Withdrawal Slip each time you wish to
transfer funds to your immediate family member. The Personal Funds Withdrawal
Slip must be completely and correctly filled out and signed by your facility staff
member, even if you already have a signed approval form on file. If the Personal
Funds Withdrawal Slip is not filled out correctly, it will be returned to you
unprocessed.

Recipient Resident’s Information

Name: IDOC #: Last, First, Middle
Facility:

Facility Heads’ Approval

Transferring Resident’s facility head or designee
The requested transfer of funds is: Approved Not Approved

Signature Date

Recipient Resident’s facility head or designee
The requested transfer of funds is: Approved Not Approved

Signature Date