Form

Email*

Florida Cares Charity Corp. remains committed to improving the lives of the incarcerated. We are all walking the same path and cannot do it alone; we are stronger together. We will do our very best to assist you and the institution to resolve your concern safely and as quickly as possible. Please be sure that you are registered with Florida Cares. We promise to keep your personal information along with your incarcerated loved ones is confidential. If you have not yet registered, once you complete this request, you will receive a link where you can register.

Ticket Description*

What's is the issue? (include as much information as known if applicable such as date, time, staff names, etc.)

Name/DC# or Dorm/Housing Unit Information*

Please provide the incarcerated person's name and DC# (ie John Smith W12345) if this issue affects just them or list the Dorm & Quad (ie A4) or Area where the issue is occurring (ie visitation) if this affects a group of incarcerated people.

What would you like Florida Cares to do?

use my name/my loved ones name

don't use my name/my loved ones name

FYI only - no need to contact anyone

Date & time of incident