ENROLLMENT

FORM

Fill out this form entirely to enroll in the VCheck24 program and pay. You will receive an e-mail confirmation after form submittal.

Personal Information:

Program Terms Must Be Accepted:

As a condition of my participation in the Program, I agree to properly use the VCHECK24 monitoring app provided to me by my monitoring authority, and to keep the app active on my smartphone at all times while on the program. This includes allowing the VCHECK24 app access to my camera, Bluetooth, location services (all the time), microphone, and cellular data for the duration of my time on the monitoring program. I understand that I may receive SMS text messages from the VCheck24 system and agree to this. In addition, I agree to keep push notifications for the app turned ON at all times. In that regard, I will perform ALL scheduled, unscheduled/random, and system generated check-ins and keep my cell phone adequately charged at all times. I further agree not to turn off or deactivate location services on my cell phone.

I shall perform my check-ins at times and locations as instructed, if specified by my monitoring authority. I further understand that when a VCHECK24 check-in is prompted, my phone may vibrate and sound a tone which is my prompt to perform a check-in and that for each check-in, I have 15 minutes to complete the check-in before it is considered late or missed. I further agree to the foundation and admissibility of reports from the VCHECK24 program as a business record.

I agree to the VCheck24 terms & conditions specified above. (you must agree to these program terms in order to participate in the VCheck24 program)

NOTE: If you are on VCheck24 as a condition of BOND or PRETRIAL release and/or you will be paying a month to month program fee, your first month payment is due up front. Additionally, you agree to provide your credit/debit card details below to enroll in regular monthly program payments. Your next auto-payment will run approximately 30 days after making your initial monthly program payment.

Credit / Debit Card # (NO GIFT CARDS)

Exp. Date

3 or 4 digit code (CVV)

I agree to auto monthly payments for the VCheck24 supervision program until program participation is terminated or I elect to cancel my participation in the program.

Pay Initial Payment and Enroll:

Enter the amount you will be paying today (amount must equal at least ONE full month payment or the total number of days you are ordered to VCheck24 if paying the full amount up front, as directed by your supervising agent). FAILURE TO PAY ANY PROGRAM PAYMENT MAY RESULT IN A NOTICE OF NON-COMPLIANCE SENT TO THE COURT)

Enrollment submitted. Once approved, you will receive a text message link to download the VCheck24 app on your phone and activate the monitoring.