• PROTECTED

  • B ONCE COMPLETED

  • NOTE: Reference document CD559

  • PERSONAL INFORMATION BANK

  • VISITING APPLICATION

  • PUT AWAY ON FILEOffender VC file

    NOTE: Shaded areas are for office use only

  • IMPORTANT

  • PLEASE READ THIS FORM CAREFULLY AS FAILURE TO COMPLETE THIS FORM COULD RESULT IN DELAYS OF APPROVAL PROCESS. Answer all questions and sign in the applicable spaces. You are required to submit TWO current photographs of yourself that contain a view of your full face, head and shoulders only (minimum size: 5cmX 3.5cm / 2’’x 1½’’ You are also required to submit a PHOTOCOPY of TWO current government issued ID’s, at least one of those must be photo ID (i.e. Driver’s Licence, Health card, etc YOU WILL NEED TO PROVIDE THAT ID WHEN YOU COME FOR THE VISIT. Lastly, you must complete the Institutional Access CPIC Clearance Request Form in order to request access to the institution. This form is located on the same page that the visiting application is located. All applications must be submitted by mail, addressed to the Visits and Correspondence unit of the institution

    you wish to visit. No fax or scan copy will be accepted.

    http://www.csc-scc.gc.ca/etablissements/001002-0001-eng.shtml

    NOTE: Failure to complete the form fully will result in delays in the visitor approval process. Providing false information is sufficient to deny access.

  • PRIVACY ACT STATEMENT

  • Personal information about you is collected under the authority of the Corrections and Conditional Release Act to review your suitability for visiting privileges at the CSC. This information is collected, with no obligation on your part, and held in the Visits and Correspondence Bank; however, your refusal to comply would result in the denial of visiting privileges. This information cannot be disclosed to other persons without your consent EXCEPT where disclosure would be justified pursuant to one of the paragraphs of subsection 8(2) of the Privacy Act.

  • INFORMATION ON APPLICANT

  • Your Name

  • Date of Birth

  • Place of Birth

  • Civic Address

  • Telephone no. where a CSC representative could contact you if necessary

  • Name of person and his/her telephone no. where a CSC
    representative may contact in an emergency

  • Information may be accessible or protected as required under the provisions of the Access to Information Act and the Privacy Act.

  • DISTRIBUTION

  • Original = Offender VC file Copy= Security Intelligent Officer

  • Give the first and last names and date of birth of any of your children (under the provincial age of majority, see CD 559 Visits, Annex B) for whom you wish visiting privileges (see also section 3 of Acknowledgement and Consent on page 3

     

  • CORRECTIONS AND CONDITIONAL RELEASE ACT (Excerpts)

  • 45. Every person commits a summary conviction offence who:

    a) is in possession of contraband beyond the visitor control point in a penitentiary; b) is in possession of anything referred to in paragraph (b) or (c) of the definition “contraband” in section 2 before the visitor control point at a penitentiary; c)delivers contraband to, or receives contraband from, an inmate; d) without prior authorization, delivers jewellery to, or receives jewellery from, an inmate; or e) trespasses at a penitentiary.

    a) an intoxicant, b) a weapon or a component thereof, ammunition for a weapon, and anything that is designed to kill, injure or disable a person or that is altered so as to be capable of killing, injuring or disabling a person, when possessed without prior authorization, c)an explosive or a bomb or a component thereof, d) currency over any applicable prescribed limit, when possessed without prior authorization, and e) any item not described in paragraphs (a) to (d) that could jeopardize the security of a penitentiary or the safety of persons, when that item is possessed without prior authorization.

    (1) A staff member may conduct a frisk search of a visitor where the staff member suspects on reasonable grounds that the visitor is carrying contraband or carrying other evidence relating to an offence under section 45.

    (2) Where a staff member (a) suspects, on reasonable grounds that a visitor is carrying contraband or carrying other evidence relating to an offence under section 45, and believes that a strip search is necessary to find the contraband or evidence, and (b) satisfies the institutional head that there are reasonable grounds (i) to suspect that the visitor is carrying contraband or carrying other evidence relating to an offence under section 45, and (ii) to believe that a strip search is necessary to find the contraband or evidence, a staff member of the same sex as the visitor may, after giving the visitor the option of voluntarily leaving the penitentiary forthwith, conduct a strip search of the visitor.

    CSC/SCC 0653E (R-2018-11) (Word Version) Page 2 of 3

  • For Office Use Only

  • (3) Where a staff member believes on reasonable grounds that a visitor is carrying contraband or carrying other evidence relating to an offence under section 45 and that a strip search is necessary to find the contraband or evidence, (a) the staff member may detain the visitor in order to (i) obtain the authorization of the institutional head to conduct a strip search, or (ii) obtain the services of the police; and (b) where the staff member satisfies the institutional head that there are reasonable grounds to believe (i) that the visitor is carrying contraband or carrying other evidence relating to an offence under section 45, and (ii) that a strip search is necessary to find the contraband or evidence, the institutional head may authorize a staff member of the same sex as the visitor to conduct a strip search of the visitor.

    (4) A visitor who is detained pursuant to subsection (3) shall (a) be informed promptly of the reasons for the detention; and (b) before being searched, be given a reasonable opportunity to retain and instruct counsel without delay and be informed of that right.

  • Searches of Visitors

  • (1) A staff member may conduct a routine non-intrusive search or a routine frisk search of a visitor, without individualized suspicion, where the visitor is entering or leaving the penitentiary.

    (2) If a visitor refuses to undergo a search referred to in subsection (1), the institutional head or a staff member designated by the institutional head may (a) prohibit a contact visit with an inmate and authorize a non-contact visit; or (b) require the visitor to leave the penitentiary forthwith.

  • ACKNOWLEDGMENT AND CONSENT

  • 1. approval of visiting privileges is conditional upon satisfactory results of a criminal record name check and I hereby give my consent to the Correctional Service of Canada to use the information provided on this form to conduct such a check. To this end, I certify that the information I have submitted is true and accurate to the best of my knowledge, and I agree to notify institutional authorities immediately should there be any changes to that information. I also give my consent that criminal record name checks be conducted every two years as per CD 559, provided that I continue to participate in visits. I acknowledge that the submission of false or misleading information or the failure to advise of changes may result in denial or suspension of my visiting privileges for an indefinite period. Finally, I agree to observe all stated rules, regulations and policies while visiting this institution and understand that th e failure to do so may likewise result in suspension of my visiting privileges for an indefinite period.

    I understand that the Correctional Service of Canada has the sole right to determine my suitability as an inmate’s visitor. I further understand that

    2. may be denied access to the institution or that a contact visit may be replaced with a non-contact visit.

    I understand that before each visit, I could be subjected to a search as per CCRA and CCRR. Furthermore, I understand that if I refuse to be searched, I

    I understand that my oral, visual or telecommunications with an inmate may be subject to interception.

  • Clear
  •  / /
  • For visitors who wish visiting privileges for their children or wards

    4. held scanning device, and to a search of his/her personal property, in accordance with the procedure outlined in section 60. b) I understand that the institution may consider it necessary that my child or ward be subjected to searches as per CD 566-8 Searching of Staff and Visitors and for this purpose.

    a) In consideration of my child or ward being granted visiting privileges, I consent to a search of his/her person by a walk-through scanner or hand

  • That I or another accompanying adult be present when such searches take place.

  • Clear
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  • CSC/SCC 0653E (R-2018-11) (Word Version) Page 3 of 3

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