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Tulsa County Sheriff’s Office

DLM Visitor's Request Form

IF THE FORM DOES NOT SUBMIT PROPERLY, DOWNLOAD AND SUBMIT IT BY HAND.

As of August 1, 2017, in order to submit this form you MUST have an email client installed. If you do not, you should download the Visitor's Request Form.

After downloading the form, fill it out by hand and return it to the address below by mail OR deliver it in person to the front desk at the David L Moss Criminal Justice Center.

			David L. Moss Criminal Justice Center
			Attention: Visitation
			300 N. Denver Avenue
			Tulsa, OK 74103
		

If you are on Probation or Parole, you must seek approval from your Probation/Parole Officer to visit with inmate.

The David L Moss Criminal Justice Center Jail Administrator will approve or deny all visiting privileges.

Anyone wanting to visit an inmate incarcerated within the David L Moss Criminal Justice Center (’DLMCJC‘) must submit this form. The information will be used to perform a background check on the applicant and a decision will be made to approve or deny this request within 10 days of receipt. After receiving approval notification, the requestor may schedule a visit.

If the person requesting visitation approval will require someone to assist them, the assistant will be required to complete a Visitor's Request Form.

ALL fields are required and must be filled-in.Any field that does not apply should be filled in with the reason why that information is not applicable. Any omission or inaccurate declarations will result in disapproval and the applicant will NOT BE ELIGIBLE to apply for visitation for a period of 120 days.


Search the on-line inmate database by name to get Inmate Number.  Search by Name

Inmate Information

  



Only immediate family members (parents, spouses and children) will be approved for visiting. Children may be accompanied by a legal or court-appointed guardian.

Visitor Information

Documented proof of your relationship will be required at the time of your visit.

Personal Details        



       

Male Female Other              
Contact Information

       


       

   

   A phone number is required. If you do not have an email address, complete the email field with “No email”.

Auto / Driver's License        

       


Yes No


Yes No




Anyone who has been convicted of a crime in the last two years will NOT be approved for visiting.

Yes No

Date of Arrest County, State Nature of Charge Disposition/Outcome


Consent For Search And Access To Criminal History Information

I, THE UNDERSIGNED, DO HEREBY ACKNOWLEDGE THAT I UNDERSTAND AND I AM SUBJECT TO THE LAWS OF THE STATE OF OKLAHOMA AND REGULATIONS OF THE TULSA COUNTY SHERIFF’S OFFICE WHILE ON THE PROPERTY. I UNDERSTAND THAT MY ENTRY INTO THE DAVID L. MOSS CRIMINAL JUSTICE CENTER FACILITY AND GROUNDS IS PRESUMED CONSENT TO A PAT DOWN SEARCH. I FURTHER UNDERSTAND THAT BY MY SIGNATURE BELOW, I AM AUTHORIZING THE TULSA COUNTY SHERIFF’S OFFICE TO CONDUCT A CRIMINAL BACKGROUND CHECK.

 I have read (or have had read to me) and understand, the rules outlined in the “Visitor’s Rules of Conduct / Violations / Sanctions” -ADD LINK- and the “Visitor’s Request Form”.

  

ANY INDIVIDUAL WHO FALSIFIES INFORMATION OR PURPOSEFULLY OMITS INFORMATION ON THIS VISITING FORM WILL BE DENIED VISITATION PRIVILEGES AND MUST WAIT 120 DAYS TO REAPPLY.

A copy of your driver’s license or state issued identification card must be presented at the time of your visit.


IF THE FORM DOES NOT SUBMIT PROPERLY, DOWNLOAD AND SUBMIT IT BY HAND.

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