Sheriff's Office Professional Visitor ID Request

Sheriff's Office Professional Visitor ID Request

Access Request

Select Requested Access Area

Select or enter value

Personal Information

First Name*

Full Middle Name*

Last Name*

Alias/Maiden Name

Current Personal Address*

City*

County*

State*

Zip*

Work Phone

Cell Phone

Work or Primary Email*

Other Email

Date of Birth*

Sex*

Select

Race*

Select

Ethnicity*

Select

Height*

Weight*

Natural Eye Color*

Natural Hair Color*

Employer Information

Agency Type*

Select

Occupation*

Title*

Agency Name*

Agency or Business' Address*

Supervisor's Name

Supervisor's Phone

Supervisor's Email

Emergency Contact

Emergency Contact Name*

Emergency Contact Phone Number*

Employer Phone Number*

Government-Issued Photo ID

File Upload*

All applicants must scan and upload a government-issued photo ID.

Attorneys must additionally scan and upload your Bar Card.

Employees at a law firm must additionally scan and upload proof of employment from your agency.

Drag and drop files here or

Acknowledgement of Racine County Jail/Courts Rules of Conduct for Professional Visitors

Digital Signature*

By checking the below box, I understand that I am providing the attached information to the Racine County Sheriff’s Office for the purposes of a background investigation. This investigation is being completed for the safety and security of staff, visitors, and inmates within the Racine County Jail. I authorize the Racine County Sheriff’s Office to use this information for that purpose.

I also confirm that I have been provided a copy of the Racine County Jail/Court’s Rules of Conduct for Professional Visitors, which is located here. I have read and understood its contents. I acknowledge that is my responsibility to ask questions about anything I do not understand. I understand it is my responsibility to comply with all the Jail rules and that failure to comply with the Jail rules may cause my admittance to the Racine County Jail to be curtailed, postponed, or discontinued, and/or criminal charges may be submitted to the District Attorney’s Office for possible prosecution.

Name*

Date*

Organization/Company*

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