Visitor Background Check Form.pdf
PDF 1 MB Posted
- Attached to
- Health Care Unit Medical Waste Removal
- Solicitation number
- B27000318
- Issued by
- Hawaii
About this file
This is a Visitor Background Check Form issued by the State of Hawaii Department of Corrections and Rehabilitation for vendor and special visit access to correctional facilities. The form requires entities and individuals seeking entry into Department of Corrections and Rehabilitation facilities to complete background check applications for group visits, tours, or inspections. The form captures identification information including name, date of birth, and Social Security number for up to five individuals per submission and requires acknowledgment of compliance with applicable laws and regulations governing facility access.
The form outlines critical statutory prohibitions and facility policies that visitors must acknowledge, including HRS prohibitions on promoting prison contraband in the first and second degrees, with penalties ranging from class B felonies (up to ten years imprisonment and $10,000 fines) to class C felonies (up to five years imprisonment and $5,000 fines). All authorized visitors are subject to personal searches, vehicle searches, and searches of possessed items upon entry to correctional facilities. The form also establishes procedures for accommodations under the Americans with Disabilities Act, requiring requests be submitted no later than five business days before the scheduled visit. Identification information collected through the application is disposed of following completion of the background check. The form is designated DCR 8320 and was last updated January 2024, with the specific facility listed as Oahu Community Correctional Center.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Medical Waste Disposal Hawaii island.xls | XLS spreadsheet | |
| Consent to Search Form Vendor.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
STATE OF HAWAII
DEPARTMENT OF CORRECTIONS AND REHABILITATION
VENDOR/SPECIAL VISIT BACKGROUND CHECK APPLICATION
(UNRELATED TO AN INMATE VISIT)
The following entity/company _____________________________________________ seeks entry into the Department of Corrections and Rehabilitation _____________________________________ for the following individuals as part of a group visit/tour/inspection. By signing below the individual acknowledges that they have read and understand the “Laws and Regulations” described below and agree to abide by them.
1. ________________________ / _________ / _____________ / __________________ Y / N
Name DOB SSN Signature
2. ________________________ / _________ / _____________ / __________________ Y / N
Name DOB SSN Signature
3. ________________________ / _________ / _____________ / __________________ Y / N
Name DOB SSN Signature
4. ________________________ / _________ / _____________ / __________________ Y / N
Name DOB SSN Signature
5. ________________________ / _________ / _____________ / __________________ Y / N
Name DOB SSN Signature
LAWS AND REGULATIONS
A. A person commits the offense of promoting prison contraband in the first degree if he/she intentionally conveys a dangerous instrument or drug to any person confined in a correctional or detention facility; or being a person confined in a correctional or detention facility, he intentionally makes, obtains, or possesses a dangerous instruct or drug.
a. A "dangerous instrument" shall have the same meaning as defined in HRS 707-700 (4); a dangerous instrument may only be possessed by or conveyed to a confined person with the Warden's express prior approval; a "drug" shall include any of the items listed in HRS 712-1240 (1) to (3) and (5) to (7); a drug may only be possessed by or conveyed to a confined person under medical supervision.
b. Promoting Prison Contraband in the First Degree is a class B felony. A person who has been convicted of a class B felony may be sentenced to ten (10) years imprisonment and a $10,000 fine (See HRS 710-1022).
B. A person commits the offense of promoting prison contraband in the second degree if he/she intentionally conveys known contraband to any person confined in a correctional or detention facility; or being a person confined in a correctional or detention facility, he/she intentionally makes, obtains, or possesses know contraband.
a. "Contraband" means any article or thing which a person, confined in a correctional or detention facility, is prohibited from obtaining or possessing by statute, rules, regulation, or order. Any article or thing not specifically authorized by the
Warden or guidelines is contraband.
b. Promoting Prison Contraband in the Second Degree is a class C felony. A person who has been convicted of a class C felony may be sentenced to five (5) years imprisonment and a $5,000 fine (See HRS 710-1023).
C. Every visitor upon authorized entry into a correctional facility or its grounds will be subject to a search of his or her person, vehicle, or any item in his/her possession. (See HAR, Title 23, Subtitle 2, Chapter 100-6).
D. Any individual needing a reasonable accommodation or modification in accordance with the Americans with Disabilities Act (ADA), shall contact the Facility ADA coordinator as soon as possible, but no later than five (5)business days (Monday through Friday) before the scheduled visit/tour/inspection. Requests made within five (5) business days shall be considered but may not be made possible.
THE IDENTIFICATION INFORMATION PROVIDED ABOVE WILL BE DISPOSED OF AFTER THE COMPLETION OF THE BACKGROUND
CHECK
| The following entitycompany: |
| the Department of Corrections and Rehabilitations: OAHU COMMUNITY CORRECTIONAL CENTER |
| 1: |
| undefined: |
| undefined_2: |
| undefined_3: |
| 2: |
| undefined_4: |
| undefined_5: |
| undefined_6: |
| 3: |
| undefined_7: |
| undefined_8: |
| undefined_9: |
| 4: |
| undefined_10: |
| undefined_11: |
| undefined_12: |
| 5: |
| undefined_13: |
| undefined_14: |
| undefined_15: |
| Text1: DCR 8320 (1/2024) |
File details come from the government source that posted it. Updated .