Maine Department of Corrections

MSP Visit Request Form

This is a request for visit scheduling, it is NOT scheduled until you receive confirmation from the Visit Office that the visit has been scheduled. *All fields marked with an asterisk (*) are required*

Resident Information

Resident Name*

Resident MDOC*

Resident Housing Area*

View the facility visit schedule

Visit Requested

Day of Week*

Date*

Time Selection

Between the hours of 8:30 a.m and 10:30 a.m.

Between the hours of 1:30 p.m and 3:30 p.m.

Time (8:30 a.m.-10:30 a.m)*

Time (1:30 p.m.-3:30 p.m.)*

Visitor Information

Your Phone*

Your Email*

Confirm email

A date of birth is required for all visitors

Visitor 1 Name*

Visitor 1 DOB* (mm/dd/yyyy)

Visitor 2 Name

Visitor 2 DOB* (mm/dd/yyyy)

Visitor 3 Name

Visitor 3 DOB* (mm/dd/yyyy)

Visitor 4 Name

Visitor 4 DOB* (mm/dd/yyyy)

Visitor 5 Name

Visitor 5 DOB* (mm/dd/yyyy)

Message/Comment

Your visit is NOT scheduled until you receive a confirmation email from a staff member at the facility.

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Maine.gov

MSP Visit Request Form