Consent to Search Form Rev 010114.pdf
PDF 15 KB Posted
- Attached to
- CTF SCCF Temp Chiller Docking Station 97439
- Solicitation number
- DQ1 CAAA 2017001145 2
- Issued by
- Ouray County, Colorado
About this file
This is a Consent to Search Form issued by the State of Colorado Department of Corrections, effective January 1, 2014. The document establishes the regulations and authorization procedures for searches conducted at Colorado Department of Corrections facilities and offices. The form serves as both a declaration of contraband items prohibited from introduction into DOC facilities and a consent waiver that visitors must acknowledge and sign prior to entry. The document outlines seventeen categories of prohibited items, including dangerous instruments, controlled substances, tools, currency, electronic communication devices, and other materials deemed security threats. Visitors are required to acknowledge that they have read and understood these regulations and consent to searches of their person, personal property, minor children accompanying them, and vehicles brought onto DOC property. The form includes provisions in both English and Spanish and specifies that violation of these regulations or entry of false information may result in being barred from or denied access to Colorado Department of Corrections facilities.
The form establishes that any person violating the contraband prohibitions may be subject to criminal prosecution under multiple Colorado Revised Statutes sections, including those addressing controlled substances, forgery, criminal mischief, and introduction of contraband. Visitors are informed that they have the opportunity to leave the facility immediately if they choose not to consent to searches. The form requires collection of guest data including date of visit, purpose, visitor identification information, vehicle data if applicable, and company information if the visitor is there on business. This document functions as an administrative control mechanism to ensure facility security and establish visitor accountability through informed consent and data collection prior to facility entry.
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Text version
AR Form 300-27C (01/01/14)
STATE OF COLORADO
DEPARTMENT OF CORRECTIONS
CONSENT TO SEARCH AUTHORIZATION
AND REGISTRATION
A. UNDER THE PROVISIONS OF COLORADO LAW, THE FOLLOWING ITEMS ARE DECLARED
CONTRABAND TO THE OFFENDER POPULATION. VISITORS SHALL NOT INTRODUCE OR ATTEMPT TO INTRODUCE THESE ITEMS INTO THIS FACILITY/OFFICE OR AT ANY LOCATION WHERE AN INMATE IS LIKELY TO BE LOCATED WHILE SUCH INMATE IS IN THE CUSTODY AND UNDER THE JURSDICTION
OF A POLITICAL SUBDIVISION OF THE STATE OF COLORADO OR THE DEPARTMENT OF
CORRECTIONS, BUT NOT ON PAROLE.
1. Any dangerous instrument: A firearm, explosive device or substance (including ammunition), knife or sharpened instrument, poison, acid, bludgeon, or projective device, or any other device, instrument, material, or substance which is readily capable of causing or inducing fear of death or bodily injury, the use of which is not specifically authorized.
2. Alcoholic beverages.
3. Controlled substances.
4. Any key, key pattern, key replica, or lock pick.
5. Any tool or instrument that could be used to cut fence or wire, dig, pry, or file.
6. Any money or coin of United States or foreign currency or any written instrument of value.
7. Any un-canceled postage stamp or implement of the United States postal service.
8. Any counterfeit or forged identification card.
9. Any combustible material
10. Any drug, other than a controlled substance, in quantities other than those authorized by a physician.
11. Any mask, wig, disguise, or other means of altering normal physical appearance which could hinder ready identification.
12. Any drug paraphernalia: all equipment, products, and materials of any kind which are used, intended for use, or designed for use in planting, propagating, cultivating, growing, harvesting, packaging, repackaging, storing, containing, concealing, injecting, ingesting, inhaling, or otherwise introducing into the human body a controlled substance in violation of the laws of this state.
13. Any material which is “obscene.”
14. Any chain rope or ladder.
15. Any cigarettes or tobacco products.
16. Any portable electronic communication device including but not limited to cell phones, public, private or family style radios, pagers, personal digital assistants, any other device capable of transmitting or intercepting cellular or radio signals, and portable computers; except those devices authorized by the executive director of the DOC.
17. Any article or thing that poses or may pose a threat to the security of the DOC facility/office as determined by the Administrative Head of the facility/office. This shall include but not be limited to: matches, cigarette lighters, any substances used for brewing or making intoxicating beverages, any counterfeit or forged medium of exchange, or paraphernalia used to produce this medium, any written message, item or object that is to be sent or brought to another offender, batteries, cameras, film, flashbulbs, flashlights, chewing gum, pets, plant life, or any article or substance that is not specifically allowed by facility/office procedures.
AUTHORITY
CRS 12-22-203 CRS12-22-303 CRS 12-46-103 CRS 12-47-103
CRS 18-7-101 CRS 18-8-203, 204, 204.1, 204.2 CRS 18-18-102
CRS 18-18-202 thru 207 CRS 18-18-426
B. PENALTIES:
ANYONE VIOLATING SECTION A MAY BE BARRED FROM THE FACILITY AND MAY BE SUBJECT TO
CRIMINAL PROSECUTION
Attachment “C”
AR Form 300-27C (01/01/14)
C. DECLARATION OF CONSENT AND WAIVER
AS A CONDITION OF ENTERING THE PROPERTY OF COLORADO DEPARTMENT OF CORRECTIONS, I
HEREBY CONSENT TO ANY SEARCH OF MY PERSON AND/OR ANY OF MY PERSONAL PROPERTY, OR
OF THE PERSON OF ANY MINOR CHILDREN ACCOMPANYING ME OR OF ANY VEHICLE THAT I MAY
BRING ON THE GROUNDS OF THIS FACILITY/OFFICE. I ACKNOWLEDGE THAT I HAVE THE
OPPORTUNITY TO LEAVE THE FACILITY/OFFICE IMMEDIATELY IF I CHOOSE NOT TO GIVE THIS
CONSENT TO SEARCH.
I HEREBY DECLARE THAT I HAVE READ AND UNDERSTAND, AND WILL ABIDE BY THE PROVISIONS
OF THE ABOVE REGULATIONS. I UNDERSTAND THAT VIOLATION OF ANY OF THE ABOVE
PROVISIONS, OR THE ENTERING OF ANY FALSE INFORMATION ON THIS FORM MAY RESULT IN MY
BEING BARRED FROM OR DENIED ACCESS TO THE COLORADO DEPARTMENT OF CORRECTIONS
STATE PENITENTIARY OR ANY OF ITS FACILITIES.
COMO UNA CONDICIÓN PARA ENTRAR A ESTE EDIFICIO CUAL ES LA PROPIEDAD DEl
DEPARTAMENTO CORRECCIONAL DE COLORADO, POR LA PRESENTE CONSIENTO A CUALQUIER
REVISO DE MI PERSONA Y/O CUALQUIERA DE MIS BIENES PERSONALES, O LA PERSONA DE
CUALQUIER MENOR DE EDAD QUE ME ACOMPAÑA, O DE CUALQUIER VEHÍCULO QUE TRAIGA
SOBRE LA PROPIEDAD DE ESTE EDIFICIO. RECONOZCO QUE TENGO LA OPORTUNIDAD DE SALIR
DE ESTE EDIFICIO INMEDIATAMENTE SI ELIJO NO ESTAR DE ACUERDO CON SER REVISADO.
POR LA PRESENTE DECLARO QUE HE LEÍDO Y HE COMPRENDIDO, Y CUMPLIRÉ CON LAS
PROVISIONES DE LOS REGLAMENTOS ANTES MENCIONADOS. COMPRENDO QUE INFRACCIÓN DE
CUALQUIERA DE LAS PROVISIONES ANTES MENCIONADAS, O FALSIFICACIÓN DE INFORMACIÓN
EN ESTA FORMA TENDRÁ COMO RESULTADO SER IMPEDIDO DE ENTRAR O DE ACCESO NEGADO
AL PENITENCIARIO O CUALQUIERA DE LOS EDIFICIOS DEL DEPARTAMENTO CORRECCIONAL DE
COLORADO.
SECTION I: GUEST DATA
Date: Purpose of Visit/DOC Person of Contact:
SECTION II: GUEST VEHICLE DATA
LICENSE #
STATE
MAKE OF
CAR
MODEL YEAR COLOR
IF YOU WERE A PASSENGER,
YOU MUST IDENTIFY THE
CAR IN WHICH YOU
ARRIVED
SECTION III: GUEST DATA
Name (Printed)
LAST: FIRST: MI: DOB: SEX:
ADDRESS: CITY:
ST: ZIP:
DRIVERS LICENSE # :
STATE: HEIGHT WEIGHT HAIR EYES
SOCIAL SECURITY NUMBER: (optional)
COMPANY NAME If Applicable ADDRESS:
CITY:
ST:
ZIP: PHONE: FACILITY/OFFICE/DESTINATION:
The information I have provided is correct and I have read and understand the Declaration of Consent and Waiver.
SIGNATURE
DATE
Attachment “C”
File details come from the government source that posted it. Updated .