Initial registration of visitors and video phone
partners

Inmate

Family name:	First name:

Visitor / video phone partner

☐ Mrs/Ms	☐ Mr

Family name:	First name:

Maiden name:	Date of birth:

Street:	Post code/Town:

Country:	Place of origin:

Phone number:

Connection / degree of relationship or acquaintance with the inmate

☐ father	☐ mother	☐ husband/wife

☐ common-law partner	☐ sibling	☐ son / daughter

☐

This form should be filled in by the inmate or private contact and must be made available to JVA Thorberg together with a colour copy of a valid travel document 14 days before the intended visit/ video phone call:

by post: JVA Thorberg Name of inmate Thorbergstrasse 48 CH-3326 Krauchthal	or by e-mail: jva.thorberg@be.ch (scan completed form and/or a colour copy of a valid travel document!)

To be filled in by inmate:

I agree with the initial registration of the above-mentioned visitor:

Yes	☐	No	☐

Date:	Signature

→ Forward form and copy of passport/ ID card to responsible case management

To be filled in by case management:

An initial registration can be carried out	☐

An initial registration cannot be carried out	☐

Reason:

The inmate should be informed by the case management if the private contact cannot be registered.

Date:	Signature

→ Forward to departmental manager Normal/Special Enforcement. Initial registration in the GINAWeb must be carried out by authorised care team staff members.

To be confirmed by an authorised member of the care team:

Initial registration in GINAWeb has been completed.

Date:	Signature

→ Forward to the administration for storing in inmates file.