ICAOS Reimbursement Form

Interstate Commission for Adult Offender Supervision (ICAOS)

Reimbursement Form

Date: * +

Requesting Sheriff's Office: *

State of Extradition: *

Cost of Extradition:

Flat Fee: *

$250

Flat Fee: *

$500

Flat Fee: *

$750

Flat Fee: *

$1,000

Flat Fee: *

$1,250

Flat Fee: *

$1,500

Flat Fee: *

$2,000

Flat Fee: *

$2,500

First/Last Name of Individual Submitting Form: *

Contact Number: *

Email Address for Correspondence: *

OFFENDER INFORMATION

First Name: *

Middle Name/Initial:

Last Name: *

DC#:

County Clerk Case Number:

Date of Warrant: * +

EXTRADITION DETAILS

Date: * +

City in which Offender was Extradited From: *

BOOKING DETAILS

Date of Booking: * +

Final Booking Facility: *

Booking Number:

Comments:

Attachments:
(The Agency will attach a copy of the extradition document outlining where the offender was extradited from, date(s) of extradition, and the final booking location.)

Reimbursement Information:

Partial reimbursement for extradition is approved when a warrant is issued for an individual supervised under the Interstate Compact as defined by the Interstate Commission for Adult Offender Supervision (ICAOS) and contingent upon the availability of funds.

If you have any questions regarding any of the reimbursement criteria, please contact Mr. Tim Strickland at (850) 717-3490 Timothy.Strickland@fdc.myflorida.com, Christopher Lane at (850) 717-3491 Christopher.Lane@fdc.myflorida.com, or the ICAOS Reimbursement Mailbox Icaos-reimbursement@fdc.myflorida.com.

For questions or concerns regarding this form, please contact Kimberly Howell at

Kimberly.Howell@fdc.myflorida.com or (850) 717-3455.