JPay.com Money Order Deposit Form FOR INMATE DEPOSITS
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Instructions
Notice: All money orders must be issued in US Funds.
To avoid delay of funding visit www.JPay.com and make a money transfer online.

·Type or write in black or blue ink only.
·Write clearly to avoid delays in processing your transaction.
·Verify that the inmate name and ID are entered correctly on the money order deposit slip.
·Do not include any letters or notes with your payment because these will be discarded.
·Detach the deposit slip, the lower portion, at the dotted line and mail with your money order.
·PLEASE MAKE SURE MONEY ORDER IS PAYABLE TO "JPAY".
·Mail deposit slip and money order to:
JPay, P.O. Box 260010, Hollywood, FL. 33026.
·For additional information call 1 (866) 333-5729.
·Money Orders may not exceed $999.99 in value.
·Please do not photocopy deposit slip as copies may not be legible (or accepted)
·In addition to money orders, cashier's checks and certified bank drafts are also accepted. All procedures, terms and conditions apply.
Notice: For full Terms and Conditions please visit www.JPay.com for full disclosure. It is not necessary for you to set up an account with www.JPay.com before sending a money order to your Inmate.

Incorporated by Reference in Rule 33-2013.201, F.A.C. FLDOC Form

Money order deposit slip MUST BE INCLUDED with money order to process funds and avoid delay.

Type your information in the form below, then print and send in with your money order.
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Mail to: JPay, P.O. Box 260010, Hollywood, FL 33026

Amount of Money (do not exceed $999.99):

Inmate's ID: Inmate's State: FL

Inmate's Full Name:

Sender's First Name: Sender's Address: Sender's phone number:

Sender's Last Name:

DC2-363 (Effective 7/13)