Maine Department of Corrections

SMWRC Visit Request Form

This is a request for visit scheduling. You will receive a copy of the request after submitting the form. The visit is NOT scheduled until you receive confirmation from the Visit Office that the visit has been scheduled.

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

Resident Information

Resident Name*

Resident MDOC*

Resident Housing Area*

View the facility visit schedule

Visit Requested

Day of the week and time of day selected must correspond with the current visit schedule

Day of Week*

Time - Thursday*

Date - Thursday*

Time - Sunday*

Date - Sunday*

Visitor Information

Your Phone*

Your Email*

Confirm email

A date of birth is required for all visitors.

Note: Contact visits are limited to three (3) visitors for all resident housing areas. A resident may submit a Special Visit Request for additional seats. These requests must be submitted to the Unit Team at least two weeks in advance and are reviewed on a case-by-case basis.

Visitor 1 Name*

Visitor 1 DOB (mm/dd/yyyy)*

Visitor 2 Name

Visitor 2 DOB (mm/dd/yyyy)

Visitor 3 Name

Visitor 3 DOB (mm/dd/yyyy)

Visitor 4 Name

Visitor 4 DOB (mm/dd/yyyy)

Visitor 5 Name

Visitor 5 DOB (mm/dd/yyyy)

Message/Comment

Your visit is NOT scheduled until you receive a confirmation email from a staff member at the facility.

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Maine.gov

SMWRC Visit Request Form