EFTA00601914.pdf

Notice of Offender Responsibilities as Required by Statute ders Bein Disc arcied From the Care. Custody, and/or Control Without Supervision NAME: EfrK-A/ )N FDC Number: WS5155. The Florida Department of Corrections Is required to submit personal information about you and the offense for which you were convicted to the Florida Department of Law Enforcement (FDLE) as a Sexual Offender or Sexual Predator as defined In Florida Statutes s. 944.607. s. 775.21, or s. 943.0435. As required by Florida Statute. your photograph will be submitted to the FDLE and will be posted on FDLE's Internet website. You will continue to be a Sex Offender or Sexual Predator as defined in s. 775.21, or s.943.0435 F.S., upon your discharge and/or termination of supervision from the Department of Corrections custody and will be required by law to do the following: 1. If you are a sexual offender or a sexual predator, you must provide the following information to the sheriffs office In the county you are residing within 48 hours of release from supervision or prison, and notify the sheriffs office immediately if any of this information changes: a. Your complete true name, date of birth, social security number, race, sex, height weight hair and eye color, tattoos or other identifying marks; occupation and place of employment, address of permanent or legal residence or address of any current temporary residence within the state or out of the state, or any transient residence within the state, address, location or description and dates of any current or known future temporary residence within the state or out of the state; home telephone number, cellular telephone numbers: and b. My electronic mail (email) address and any instant message (IM) name. FAILURE TO REPORT THIS INFORMATION OR CHANGES IS A THIRD DEGREE FELONY. 2. If you are a sexual offender or a sexual predator, you must register In person a at Din charifrc ntfire in thn m,Intl/ wham yr,* antnhlich m mai-JAM A raelttennash within AR haus.. >Par haing rm.I eucod from !ha cttrerty, control, or supervision of the Department of Corrections or from the custody of a private correctional facility; and t at a drivers license office of the Department of Highway Safety and Motor Vehicles within 48 hours after registering In person at the sheriffs office in the county where you establish or maintain a residence. FAILURE TO COMPLETE REGISTRATION IS A THIRD DEGREE FELONY. 3. If you are a sexual predator, you must register in person at the sheriffs office in the county where you were designated by the court as a sexual predator within 48 hours after establishing or maintaining permanent or temporary residence in this state or within 48 hours after being released from the custody, control, or supervision of the Department of Corrections or from the custody of a private correctional facility. FAILURE TO COMPLETE REGISTRATION IS A THIRD DEGREE FELONY. If you are a sexual offender or a sexual predator, you must report In person at a drivers license office of the Department of Highway Safety and Motor Vehicles If you change a. your name by reason of marriage and/or any other legal process; or tr your permanent, temporary or transient residence or location: or your driver's license or identification card whether or not the driver's license or Identification card requires renewal. FAME TO REPORT ANY CHANGES WITHIN 48 HOURS OF MAKING CHANGES IS A THIRD DEGREE FELONY. NOTE: As applied to registration, the definition of temporary residence, permanent residence and transient residence under s. 775.21(2) (f) (I) and (m) or s. 943.0435(1) (c), F.S. are: Pemianenlifeldence: place where a person abides, lodges, or resides for 5 or more consecutive days. - Temporary residence: place where a person abides, lodges, or resides including, but not limited to. vacation, business, or personal travel destinations in or out of this state, for 5 or more days in the aggregate during any calendar year. Transient residence; place where a person lives, remains or is located for a period of 5 or more days in the aggregate during any calendar year. which Is not the person's permanent or temporary address, including a place where the person sleeps or seeks shelter and a location that has no specific street address. 5. If you are a sexual offender or a sexual predator, you must report in person at the sheriffs office of the county In with you are located before vacating, or within 48 hours after vacating, your permanent. temporary or transient residence if a. You are vacating or have vacated your permanent, temporary or transient residence and you do not have another permanent, temporary or transient residence. 6. If you report your intent to vacate your permanent, temporary or transient residence. under number 5 above, but remain at your permanent, temporary or transient residence you must report that information to the same sheriffs office, under number 5 above, vAthin 48 hours after the date upon which you Indicated you would vacate. FAILURE TO REPORT THAT YOU DID NOT VACATE YOUR RESIDENCE IS A SECOND DEGREE FELONY. 7. If you are a sexual offender or a sexual predator, you must register through the sheriffs office if your permanent, temporary or transient place of residence is a motor vehicle, trailer, mobile home, or manufactured home as defined in chapter 320, F.S., or if your permanent, temporary or transient place of residence Is a live aboard vessel or houseboat as defined in chapter 327, F.S. 8. If you are a sexual offender or a sexual predator and you are enrolled, employed, or carrying on a vocation at a covered institution, you must immediately provide to the sheriffs office the name, address, and county of each covered institution where you are enrolled, employed, or carrying on a vocation, including each campus you are attending and your employment or enrollment status. Covered institutions are a. community colleges, colleges, or state universities; or b. independent post-secondary institutions including technical, vocational or career centers; or c. adult education facilities. FAILURE TO INFORM THE SHERIFF'S OFFICE IS A THIRD DEGREE FELONY. 9. You mot report any change in enrollment or employment status under number 8. within 48 hours of any change in status. FAILURE TO INFORM THE SHERIFF'S OFFICE IS A THIRD DEGREE FELONY. 10. If you are a sexual offender or a sexual predator and you Intend to establish residence in another state or jurisdiction. you must report in person to the sheriff of the county of your current residence 48 hours before the date you Intend to leave Florida. At that time you must provide the sheriff with the address of your intended residence. Including the municipality, county, and state. FAILURE TO PROVIDE THE SHERIFF WITH THE PROPER INFORMATION IS A THIRD DEGREE FELONY. 11. If you are a sexual offender or a sexual predator and you choose to remain In Florida after reporting that you Intend to establish residence in another state or jurisdiction under number 10., you must report that you did not leave Florida in person to the sheriff within 48 hours of the date you indicated you would leave. FAILURE TO REPORT THAT YOU DID NOT LEAVE FLORIDA IS A SECOND DEGREE FELONY. DC3-203B (Revised 6/4/10) EFTA00601914  12. You must maintain registration for life except as specified ins. 775.21, F.S. or s. 943.0435, F.S. your birth month to the sheriffs 13. You must report In person twice a year during the month of your birthday and during the sixth month following to reregister as noted ins. 775.21, F.S., s. 943.0435. F.S.. or s. 944.607, F.S. office in the county where you reside or are otherwise located FAILURE TO REREGISTER AS REQUIRED IS A THIRD DEGREE FELONY. You must reregister in: if your birth month is: You must reregister in: If your birth month is: You must reregister in: If your birth month is: May May & November September March & September January January & July June June 8 December October April & October February February & August January & July November May & November March March & September July August Februa & Au ust December June & December A•ril A•ril & October if you are a sexual predator or 14. Effective July 1, 2007. you must reregister during the month of your birthday and every three months thereafter if you have been convicted of a violation of one of the following Florida Statutes: a. S. 787.01 if certain provisions apply; or b. s. 787.02 it certain provisions apply; or C. S. 794.011, excluding s. 794.011(10); or d. s. 800.04(4Xb) if certain provisions apply; or e. s. 800.04(5Xb); or f s &00.04 5 c 1 or 2 if certain provisions apply: or g. s. 800.04((5 if certain provisions apply. FAILURE TO REREGISTER AS REQUIRED IS A THIRD DEGREE FELONY. If your birth month You must reregister in: If your birth month You must reregister in: If your birth month You must re egister in: is: is: is: May February. May. August, September March. June. September, January January, April. July. & & November & December October June Mace, Juno. Seplembel. Wiliam January, Aptil, July, & Fboruary Peoruary, May, Aoyest,3 & December October November July January, April. July, & November February, May, August, & March March. June, September. October November & December & August February. May. August, December March, June, September. April January. April, July, October & November & December requirements imposed by another state if you 15. If you are a sexual offender or a sexual predator, you must also comply with any registration change your residence to another state or if you are employed. carry on a vocation, or if you are a student in another state. of the date of the correspondence. 16. You must respond to any address verification correspondence you receive within three weeks have been convicted of an offense that 17. You may not reside within 1,000 feet of any school, day care center, park, or playground if you that was less than 16 years of age in violation of any of the following Florida Statutes: occurred on or after October 1, 2004 against a victim a. s. 794.011: or b. s. 800.04; or C. s. 827.071; or d. s. 847.0145. I acknowledge that I have read and understood the above requirements. <Cr> The above requirements have been read to me and I und em. . Offender Printed Name • WNt:ft eltirit Witness Printed Name Distribution: Central Office (Original) Probation: FDLE (Original) Institution: FDLE (Copy) P & P Offender File (Copy) File (Copy) Offender (Copy) Sheriffs Office (Copy) Offender (Copy) Section 5 Offender File DC3-203A (Revised 8/07) EFTA00601915