Printable Iowa Visitor Application Form in PDF Modify Form Online

Printable Iowa Visitor Application Form in PDF

The Iowa Visitor Application form is designed for individuals seeking approval to visit inmates in the Iowa Department of Corrections facilities. It requires detailed information about the visitor, their relationship to the incarcerated individual, and any legal or criminal history, to ensure compliance with the department's regulations and safety protocols. Completing this form accurately is crucial for obtaining permission to visit, as any false information or omissions can lead to the denial of visitation rights.

Interested parties are encouraged to carefully review and fill out the form, adhering to all guidelines to facilitate a smooth approval process. Click the button below to start the application process and take the first step towards reconnecting with your loved one.

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Visiting a loved one in the Iowa Department of Corrections requires a process that begins with the Iowa Visitor Application Form, a critical step for ensuring that the visitation procedures are adhered to and respected. This form demands meticulous attention to detail from the applicant, as it involves providing comprehensive personal information, including legal name, relationship to the incarcerated individual, contact details, and legal status. Significantly, the form stipulates that each adult visitor must complete their own application, emphasizing the requirement for accuracy and honesty in disclosing information about past criminal history, pending charges, or any affiliations with the Department of Corrections, whether as an employee, contractor, or volunteer. Additionally, it outlines specific conditions for children wishing to visit, underlining the importance of explicit parental or guardian approval. The form also introduces prospective visitors to the search procedures and drug-free policies upheld by the Department of Corrections, clearly stating the consequences of failing to comply or providing false information, which includes the denial of the application or future visiting restrictions. The form ultimately serves as a crucial tool for maintaining the security and integrity of correctional facilities while facilitating meaningful connections between incarcerated individuals and their visitors, hence the emphasis on the incarcerated individual’s responsibility to inform the visitor upon approval. As such, the Iowa Visitor Application Form encapsulates a breadth of requirements and expectations, aiming to balance legal and procedural necessities with the human need for connection.

Iowa Visitor Application Preview

Confidential

IOWA DEPARTMENT OF CORRECTIONS

Information Not

Visitor Application

Public Record

(one adult applicant per questionnaire)

PLEASE DO NOT ATTEMPT TO VISIT UNTIL THE INCARCERATED INDIVIDUAL NOTIFIES YOU OF

YOUR APPROVAL.

NOTICE: Before completing this application, please review the Department of Corrections search procedures on the back of this application. DO NOT LEAVE BLANKS OR PROVIDE FALSE INFORMATION. Doing so will cause your application to be DENIED.

1.

Incarcerated individual name:

 

 

 

Incarcerated individual number:

 

 

VISITOR INFORMATION

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

Legal Last name

Legal First name

Middle

Maiden name

Phone number

 

 

3.

Your relationship to incarcerated individual:

 

How long have you known the incarcerated individual?

4.

 

 

 

 

 

 

 

 

 

 

 

 

Birth date

Sex

Marital status

Spouse’s Name

Your Social Security number

5.

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

City

 

County

State

Zip code

6.Please list only YOUR children or children you have guardianship of (please provide proof) under age 18 who will be visiting with you. Anyone over age 18 must complete a separate questionnaire.

Name

 

 

 

 

 

Name

 

 

 

Date of birth

 

 

 

 

 

Date of birth

 

 

 

SS#

 

M –

F

SS#

M –

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

Name

 

 

 

 

 

Name

 

 

 

Date of birth

 

 

 

 

 

 

Date of birth

 

 

 

SS#

 

 

 

M –

F

SS#

M –

F

 

 

 

 

 

 

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

 

 

Relationship to incarcerated individual

 

 

 

In regards to the incarcerated individual’s children, the parent/guardian must complete the application and check one of the following:

Children can only visit with the approved parent/guardian Children can visit with any approved adult visitor

7. Do you have any pending charges?

Yes

No

Where

 

 

If yes, what is the charge(s)

8.If you have been arrested as either an adult or juvenile, complete all information below. Include all misdemeanors and felonies, deferred judgments, and any periods of incarceration including jail time.

9.

 

Are you now or have you ever been incarcerated or on probation/parole?

Yes

No

 

 

Where

 

 

Discharge Date:

 

 

 

10.

Have you ever been involved in the illegal use of drugs?

Yes

No

 

 

 

11. Are you currently, or have you ever been, a Department of Corrections employee or volunteer, a contractor, or private

sector employer working for the Department of Corrections? Yes No If yes, please list the name of the institution and dates of employment or volunteer work:

Date(s):

12.Have you previously been or are you presently on the visiting list of any incarcerated individual in the Department of Corrections?

Yes No

Page 1 of 2

OP-MTV-04 F-1

13. Have your visitation privileges ever been denied, suspended, or terminated?

Yes

No

14.If you answered “yes” to either of the two above questions, please list incarcerated individual’s name, number and your relationship to him/her:

15.To enhance your safety as a visitor, please let us know if you have been the victim of an incarcerated individual supervised/incarcerated by the IDOC. If so, please list the incarcerated individual (s) name, ID number (if known), county, charge and case number:

16. Are you a legal citizen of the United States (you will be required to show a picture ID to visit).

Yes

No

NOTICE: The Department of Corrections will evaluate this information against state and federal law enforcement databases. Failure to accurately complete any of the above information will result in rejection of this application. Please ensure that you sign the back page of the application. You are advised to keep a copy of this application

NOTICE:

All visitors are subject to search procedures: This may include non-intrusive electronic search methods. If a visitor refuses to be searched, you will not be permitted to visit and your visiting privileges may be revised.

In order to maintain drug-free prison zones, the non-intrusive ION SCAN method of detecting the use of, handling of or association with illegal substances (drugs) may be applied to prospective visitors. Should this test provide a positive indication of illegal substance association or you refuse to be tested, the following minimum visiting restrictions shall apply:

A)First Occurrence. Visiting privileges will be suspended from the date and time of the test for the next two (2) visiting days. Future visits may be restricted to non-contact status.

B)Second Occurrence. Visiting privileges will be suspended from the date and time of the test for the next seven (7) visiting days. Future visits may be restricted to non-contact status.

C)Third Occurrence. Visiting privileges will be suspended from the date and time of the test for the next fifteen (15) visiting days. Future visits may be restricted to non-contact status.

D)Fourth Occurrence. Visiting privileges will be suspended from the date and time of the test for the next thirty (30) visiting days. In addition, you will be placed on non-contact visit status for one hundred and eighty (180) days from the date of the first eligible visit. If you test positive from this date forward, visiting privileges may be permanently restricted to non-contact status.

E)Refusal to submit to being tested will suspend visiting privileges to the facility for fifteen (15) calendar days from the time of refusal.

Visitors may send a written appeal to the Warden regarding receipt of any of the above sanctions.

I hereby give my consent to initiate a background investigation with law enforcement agencies and authorize law enforcement agencies to furnish information. I also understand any falsification of the information I provided above will disqualify me from visiting.

17.

Signature

 

Date

It is the responsibility of the incarcerated individual to notify you of visitor application approval.

Return completed application to Centralized Visiting Authority to:

Mt. Pleasant Correctional Facility

 

Attn: Central Records

 

1200 E. Washington

cc: file

Mt. Pleasant, IA 52641

 

BREAK THE SILENCE -- Iowa DOC has a zero tolerance for sexual violence of any kind. If you are told about or are concerned about sexual violence committed against any person in an IDOC prison, please contact the Warden immediately.

Revised: Oct. 2000, Sept. 2006, June 2007, Feb. 2008. Reviewed: Feb. 2009. Revised: July 2010. Reviewed: Jan. 2011, May

2012. Revised: Nov. 2013, Oct. 2014, July 2015, April 2016. Reviewed: April 2017. Revised: April 2019. Page 2 of 2

OP-MTV-04 F-1

Form Information

Fact Detail
Application Purposes Used for individuals wishing to visit inmates in the Iowa Department of Corrections (IDOC) facilities.
Application Condition Applicants must not visit until notified of approval by the incarcerated individual.
Legal Requirement Accurate completion is essential; false information leads to denial.
Search Procedures Notice Visitors are subject to search procedures, and refusal may result in non-permission to visit.
Governing Law(s) Iowa state regulations and federal law enforcement database evaluations are applicable.

Detailed Guide for Writing Iowa Visitor Application

Applying to visit someone in the Iowa Department of Corrections requires careful attention to detail. The Iowa Visitor Application form is your first step toward gaining approval for such visits. It's important to provide comprehensive and accurate information to prevent delays or denial of your application. Below is a step-by-step guide to help you fill out the form correctly. Make sure to review the Department of Corrections search procedures and understand that all visitors are subject to search. Additionally, be aware of the implications of drug detection tests on your visiting privileges. Your application's accuracy and honesty are crucial for its approval. Follow these steps to ensure your application is completed properly.

  1. Start by entering the incarcerated individual's name and number at the top of the form.
  2. Fill in your legal last name, first name, middle name, maiden name (if applicable), and phone number in the visitor information section.
  3. Specify your relationship to the incarcerated individual and how long you have known them.
  4. Provide your birth date, sex, marital status, spouse's name (if applicable), and your Social Security number.
  5. Enter your address including city, county, state, and zip code.
  6. List your children or children you have guardianship of who are under age 18, including their names, dates of birth, Social Security numbers, and their relationship to the incarcerated individual. Specify if children can visit with only the approved parent/guardian or any approved adult visitor.
  7. Answer whether you have any pending charges, and if yes, provide details of where and what the charges are.
  8. If you have been arrested as an adult or juvenile, complete all required information regarding misdemeanors, felonies, deferred judgments, and any periods of incarceration or jail time.
  9. Indicate if you are now or have ever been incarcerated or on probation/parole, including where and the discharge date.
  10. Answer whether you have ever been involved in the illegal use of drugs.
  11. State if you are currently or have ever been a Department of Corrections employee, volunteer, contractor, or a private sector employer working for the Department of Corrections, and provide details if applicable.
  12. Declare if you have previously been or are presently on the visiting list of any incarcerated individual in the Department of Corrections.
  13. Indicate if your visitation privileges have ever been denied, suspended, or terminated.
  14. If applicable, list any incarcerated individual’s name, number and your relationship to them for whom you have been denied, suspended, or terminated from visiting.
  15. If you have been a victim of an incarcerated individual supervised/incarcerated by the IDOC, provide the incarcerated individual's name, ID number, county, charge, and case number.
  16. Confirm your legal citizenship of the United States.
  17. Finally, sign and date the form at the bottom, understanding that your application will undergo a background investigation, and any falsification of information will disqualify you from visiting.

Once completed, send your application to the Centralized Visiting Authority at Mt. Pleasant Correctional Facility. It's important to wait until the incarcerated individual notifies you of your approval before attempting a visit. By following these steps and providing accurate information, you'll be on your way to completing your application process efficiently.

Get Answers on Iowa Visitor Application

What steps should I follow after completing the Iowa Visitor Application form?

After you have carefully filled out the Iowa Visitor Application form, ensuring that no sections are left blank and all provided information is accurate and truthful, sign the form and submit it to the Centralized Visiting Authority at the listed Mt. Pleasant Correctional Facility address. It is vital to keep a copy of the application for your records. Following submission, the incarcerated individual will inform you once your application has been approved. It's important to wait for approval before attempting a visit.

Can children visit with me, and if so, do they need to fill out a separate form?

Children under the age of 18 can visit alongside you without completing a separate application form; however, you must list them on your application and provide details like their names, dates of birth, Social Security numbers, and relationship to the incarcerated individual. Proof of guardianship is required for children who are not biologically yours. For any visitor over the age of 18, a separate application form must be completed. Remember, the application lets you specify if the children can visit only with the approved parent/guardian or with any approved adult visitor.

How does the application process account for my criminal history?

Your criminal history directly impacts the application process. The form requires disclosure of any current charges, previous arrests as an adult or juvenile, including misdemeanors, felonies, deferred judgments, and any periods of incarceration—including jail time. Furthermore, it inquires about past or present probation or parole status. Being transparent and accurate about your criminal history is crucial since the Department of Corrections validates this information against state and federal law enforcement databases. Providing false information or failing to accurately complete the form results in rejection.

What happens if I refuse the search procedure or test positive for illegal substances during a visit?

All visitors are subject to search procedures, which include non-intrusive electronic search methods and potentially the ION SCAN method for detecting illegal substance use. Refusing to be searched or to submit to the ION SCAN test, or testing positive for illegal substances, can have severe consequences on your visiting privileges. The consequences escalate with each occurrence, ranging from a suspension of visiting privileges for a couple of days to potentially permanent non-contact visit status after multiple offenses. It's essential to comply with these procedures to preserve your ability to visit.

What should I do if I witness or am informed about instances of sexual violence within the IDOC facilities?

The Iowa Department of Corrections has a zero-tolerance policy for sexual violence. If you become aware of or witness any form of sexual violence against any person in an IDOC prison, you are encouraged to break the silence by contacting the Warden immediately. Reporting such incidents is crucial for maintaining the safety and well-being of all individuals within the facility.

Common mistakes

Filling out the Iowa Visitor Application form requires attention to detail and full disclosure to ensure approval. Common mistakes can delay or result in the denial of visitation rights. Here are ten mistakes applicants often make:

  1. Leaving blanks on the form instead of providing the requested information can lead to automatic rejection. It's essential to answer every question, even if the response is "N/A" for not applicable.

  2. Providing false information, whether intentionally or by mistake, can result in the denial of the application. Accuracy is critical when filling out the form.

  3. Failure to review the Department of Corrections search procedures before completing the application can cause misunderstandings and mistakes. This information is crucial for understanding the process and ensuring compliance.

  4. Omitting details about previous arrests, including misdemeanors and felonies, deferred judgments, or any periods of incarceration, can cause issues since the Department conducts thorough background checks.

  5. Not listing all children under the age of 18 who will visit, including their relationship to the incarcerated individual and providing proof of guardianship if requested, can lead to incomplete application processing.

  6. Forgetting to specify the visitation rights for the incarcerated individual’s children, whether they can visit only with the approved parent/guardian or with any approved adult visitor, can complicate the visitation process.

  7. Answering vaguely about pending charges. If there are any, it's important to specify where and what the charges are for clarity and to avoid processing delays.

  8. Not disclosing prior involvement with the Department of Corrections as an employee, volunteer, contractor, or private sector employer, if applicable, can result in the rejection of the application upon background verification.

  9. Failing to indicate legal U.S. citizenship status accurately and understanding that a picture ID will be required to visit. This is a mandatory step for verifying the identity and legal status of the visitor.

  10. Not signing the application. A signature is required to authenticate the application and give consent for a background investigation. Unsigned applications cannot be processed.

Applicants are advised to double-check their applications for these common errors before submission to ensure a smoother approval process for visiting their loved ones.

Documents used along the form

When planning a visit to a loved one in an Iowa correctional facility, it's essential to understand that the Iowa Visitor Application form is just one of several documents you might need to complete the visitation process successfully. Beyond this primary application, several other forms and documents play critical roles in ensuring that your visit is approved and that you can maintain contact with incarcerated individuals. The following list outlines some of these key documents, providing a brief description of each, to help you navigate the process smoothly.

  • Proof of Relationship Documents: These can include birth certificates, marriage certificates, or court documentation proving guardianship. This documentation is often required to establish the visitor's relationship to the incarcerated individual, which is a crucial part of the application process.
  • Government-issued Photo ID: A valid photo ID (such as a driver's license, state ID card, or passport) is necessary for identity verification. This ensures the safety and security of the facility, incarcerated individuals, and visitors.
  • Background Check Consent Form: While the visitor application includes consent for a background check, some facilities might require a separate, more detailed consent form. This form allows the Department of Corrections to perform necessary background checks to maintain security.
  • Minors’ Consent Form: If a visitor plans to bring a minor who is not their child, they may need to complete a form providing consent from the minor’s parent or legal guardian. This form is crucial for safeguarding the well-being of minors during their visit.

Understanding and preparing these documents before your visit can significantly streamline the process, making it easier for you to focus on spending quality time with your loved one. Remember, each document you provide helps ensure that all visitors, incarcerated individuals, and staff maintain a safe and secure environment. It's always a good idea to contact the facility directly or consult their website for the most current information and requirements related to visitation.

Similar forms

The Iowa Visitor Application form shares similarities with a Job Application form. Both require detailed personal information, including full name, address, and social security number. They also inquire about previous experiences relevant to their purpose - for instance, past employment history in a job application, and any criminal history in a visitor application. Each form aims to assess the suitability of the applicant for the intended role or privilege, emphasizing the necessity of honesty and the consequences of providing false information.

A Passport Application form resembles the Iowa Visitor Application form in its request for personal identification details, such as legal name, birth date, and marital status. Both documents necessitate confirmation of citizenship and may require additional information regarding one's legal or criminal history. The primary purpose of these forms is to establish the identity and eligibility of the applicant for a specific privilege, be it international travel or prison visitation rights.

Like the Iowa Visitor Application form, a Loan Application form gathers comprehensive personal and financial information from the applicant. This includes not only basic identification details but also inquiries into the applicant's financial stability and history, akin to the criminal history checks of the visitor application. Both forms are critical in determining the applicant’s eligibility and integrity, with a focus on risk assessment from the institution's perspective.

An Adoption Application form also shares common grounds with the Iowa Visitor Application form in its requirement for extensive personal information. It delves deeper into the applicant’s background, family composition, and even the intention behind the application, similar to how the visitor application assesses the relationship with the incarcerated individual. Each form serves to evaluate the suitability of the environment the applicant is seeking to enter - be it adding a family member or entering a correctional facility.

The Volunteer Application form is akin to the Iowa Visitor Application form in several aspects. Both solicit detailed personal information, background checks, and specific questions tailored to the nature of the application, such as past volunteer work or association with the Department of Corrections. Each form is instrumental in assessing the applicant's suitability and reliability for the roles they wish to undertake.

Tenant Rental Application forms share similarities with the document in question by collecting detailed personal information, references, and background check consents, including previous addresses and, in some cases, criminal history. This vetting ensures the applicant meets specific criteria, akin to how the Iowa Visitor Application form evaluates eligibility for prison visitation rights.

A College Application form, while primarily academic-oriented, also resembles the Iowa Visitor Application in certain respects. It requires personal information, past educational history, and sometimes personal essays that reflect the applicant's character and intentions, mirroring how the visitor application assesses the applicant's relationship and history with the incarcerated individual.

A Firearms License Application form bears similarities in its requirement for detailed personal information, along with a thorough background check similar to that of the Iowa Visitor Application form. Both assess the applicant's legal standing and suitability for the privilege they are applying for, ensuring they meet specific safety and legal standards.

A Foster Care Application form, much like the Iowa Visitor Application form, demands an extensive review of personal information, home environment, and background checks to assess suitability and readiness for the responsibilities applied for. Both forms are deeply concerned with the safety and well-being of those under the care of the applicants, be it foster children or incarcerated individuals.

Last, a Mortgage Application form parallels the Iowa Visitor Application form through its comprehensive collection of personal and financial information to assess risk and eligibility. Both require honesty and thoroughness in the information provided, impacting the applicant's ability to gain the desired approval – visiting rights in one case, and loan approval in the other.

Dos and Don'ts

When filling out the Iowa Visitor Application form for the Department of Corrections, navigating the process smoothly and accurately is vital to ensure you can visit your loved one without unnecessary delays. Here are some thoughtful guidelines on what you should and shouldn't do during this process.

What You Should Do:

  1. Provide complete and accurate information: Ensure all fields are filled out with the correct information. Incomplete applications can result in denial of visitation rights.
  2. Disclose your criminal history truthfully: Include all required details about any past criminal charges or convictions, as failing to do so could be grounds for denial.
  3. Check your application for errors: Before submitting, review your application carefully for any typos or inaccuracies that could affect its processing.
  4. Understand the search procedures: Familiarize yourself with the IDOC search procedures and the ION SCAN method to ensure you comply with all policies during your visit.
  5. Keep a copy of your application: After submission, retain a copy for your records. This can be helpful for future reference or in the case of any discrepancies.

What You Shouldn't Do:

  • Leave blanks on the application: Do not skip any sections. If a question does not apply to you, enter N/A (not applicable) instead of leaving it blank.
  • Provide false information: Being dishonest on your application can lead to immediate denial and potential legal consequences. Always be truthful.
  • Attempt to visit before approval: Wait until the incarcerated individual notifies you that your application has been approved to avoid any disappointment or wasted trips.
  • Ignore the need for proof of guardianship: For applicants intending to bring children, having the necessary documentation ready is crucial. Failure to provide it can complicate the visitation process.
  • Forget to sign and date the application: An unsigned or undated application is considered incomplete and will not be processed until rectified.

Filling out the Iowa Visitor Application with diligence, honesty, and attention to detail can significantly streamline the process, helping you to quickly gain approval to visit your loved one. Remember, this process is designed to ensure the safety and security of all parties involved, so adherence to the guidelines is in everyone's best interest.

Misconceptions

When applying to visit an incarcerated individual within the Iowa Department of Corrections, applicants often come across the Iowa Visitor Application form. There are several misconceptions surrounding this process that can affect an application's success. Understanding these nuances is critical.

  • Misconception 1: All sections of the form do not require completion.
    In reality, every section of the form needs to be filled out. Leaving blanks or providing false information could lead to the application being denied.

  • Misconception 2: Approval for visitation is immediate.
    The approval process takes time, and one must wait until the incarcerated individual notifies them of the approval before attempting a visit.

  • Misconception 3: Children over 18 can be included in the adult's application.
    Each adult, including those over 18, must fill out a separate questionnaire. Only children under 18 can be included in a guardian's application.

  • Misconception 4: A criminal history leads to automatic disqualification.
    While a criminal history must be disclosed, it does not automatically disqualify an applicant from being approved to visit.

  • Misconception 5: Drug use will not be checked.
    Applicants are subject to search procedures, including the non-intrusive ION SCAN method, to detect illegal substance use or association.

  • Misconception 6: Legal citizenship is not a requirement for visitation approval.
    The form clearly asks if the applicant is a legal citizen of the United States, implying its importance in the approval process.

  • Misconception 7: The application process is confidential.
    While the form is marked as confidential, it does note that information will be checked against state and federal law enforcement databases, so absolute privacy cannot be assumed.

  • Misconception 8: The application only needs to be submitted to the correctional facility.
    The completed application should be returned to the centralized visiting authority as directed on the form, not just any correctional facility.

Understanding these key aspects can streamline the application process, avoiding common pitfalls that may delay or prevent approval. It's advised that applicants review their forms thoroughly before submission, ensuring all information is accurate and complete.

Key takeaways

When considering a visit to an incarcerated individual in Iowa, the Iowa Department of Corrections Visitor Application form is an essential document to understand and complete properly. Here are ten key takeaways about filling out and using this form effectively:

  • Provide Accurate Information: It is critical to fill out the form with accurate and complete information. Any blanks or false information can lead to the denial of the application.
  • Separate Applications: If you are planning to visit with children under the age of 18, remember that only the applicant's own children or those they have guardianship of should be listed. Every visitor over the age of 18 must fill out a separate application.
  • Pending Charges and Previous Convictions: You must disclose if you have any pending charges or if you have been arrested or convicted as an adult or juvenile. This includes all misdemeanors, felonies, deferred judgments, and periods of incarceration.
  • Correctional Employment History: If you have ever been employed by, or volunteered with, the Department of Corrections, or if you have been a contractor or a private sector employer working for the Department, this information must be disclosed.
  • Previous Visitation History: The form asks whether you have previously been on a visiting list or had visitation privileges denied, suspended, or terminated. Honest responses are required for these questions.
  • Victim Information: If you have been a victim of the incarcerated individual or another individual incarcerated by the Iowa Department of Corrections, you are encouraged to provide this information for your safety.
  • Legal Citizenship: Confirming your legal citizenship is necessary, and you will be required to present a picture ID upon visiting.
  • Search Procedures: All visitors are subject to search procedures, which may include non-intrusive electronic methods or ION SCAN tests for detecting associations with illegal substances.
  • Consent for Background Check: By signing the form, you consent to a background investigation by law enforcement agencies, and any falsification discovered can disqualify you from visiting.
  • Submission and Approval Process: The completed form must be returned to the Centralized Visiting Authority at the specified facility. It is the responsibility of the incarcerated individual to inform you about the approval of your visitor application.

By taking these key points into consideration, prospective visitors can navigate the application process more smoothly and enhance their understanding of the policies and procedures surrounding visits to incarcerated individuals within the Iowa Department of Corrections.

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