Corrections Media Interview Consent Form

If you are a member of the media and you are interested in obtaining an interview with an inmate of the Osceola County Correctional Facility, you will first need to submit this form.

Inmate Information

*If you are a family member or friend wanting to schedule a personal visit with an inmate, please DO NOT fill out this form. Instead, you may come to the facility, call 407-742-4400, or schedule a visit online using the IC Solutions website.

Inmate's Name*

First Name

Last Name

Inmate's Jail Number

Interviewer Information

Interviewer's Name*

First Name

Last Name

Interviewer's Affiliation

Phone*

Format: (555) 555-5555

Email*

Type of Interview Requested

Telephone
In-Person
Either

I understand that the information provided by me is subject to the Privacy Policy and Terms of Use.*

I agree

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