Free Contact Visits at MCAC request Form - Maryland

REQUEST FOR CONTACT VISIT AT MCAC
Name: __________________________________ Phone number:___________________________ Fax number:_____________________________ Case name and number:_________________________________ _________________________________ Inmate name and number:_______________________________ _______________________________ Reason for contact visit: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________ _____________________________________________________________ Dates available for contact visit:_________________________________ _________________________________ EVERY EFFORT SHOULD BE MADE TO SCHEDULE CONTACT VISIT ON TUESDAY OR THURSDAY Approved: Yes/ No ___________________________ Donna P. Shearer CJA Supervising Attorney Faxed to Shift Commander on ________________( fax 410-332-4561) Contact visit approved for Date:________________ Signature____________________________ MCAC Official
*Form should be faxed to Donna P. Shearer, CJA Supervising Attorney 410-962-3630 if you can't reach Ms. Shearer fax request to: Judge James K. Bredar 410-962-2985