MCC Visit Request Form

 

This is a request for visit scheduling; it is NOT scheduled until you receive confirmation from the Visit Office that the visit has been scheduled.

Note: Prisoners in MPU are only allowed a maximum of (2) adult visitors and (2) minors assuming that they can sit on an adult visitor's lap the entire visit. Prisoners who are in the Women's Center and located on the Hill, CRC or RULE may have a maximum of (3) adult visitors and (3) minors assuming that they can sit on an adult visitor's lap the entire visit, unless in non-contact visits.

 
Prisoner Name*:
Prisoner MDOC*:
Prisoner Housing Area*: Hill/CRC/RULE/WC/MPU/SMWRC
  Click here for visit schedule
Visit Requested  
Day of Week*:
Date*: MM/DD/YYYY
Time*:
   
Your Phone:
Your Email*:
Confirm Email*:
   
Visitor 1 Name*:
Visitor 1 DOB*:
  A date of birth is required for all visitors.
Visitor 2 Name:
Visitor 2 DOB: MM/DD/YYYY
   
Visitor 3 Name:
Visitor 3 DOB:
   
Visitor 4 Name:
Visitor 4 DOB:
   
Visitor 5 Name:
Visitor 5 DOB: MM/DD/YYYY
   
Visitor 6 Name:
Visitor 6 DOB:
   
Message/Comment:

*All fields with an asterisk (*) are required*