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Money Order Deposit Form
FOR INMATE DEPOSITS
DID YOU KNOW?
HOW TO
Money orders can take days to
mail and process?
SEND A MONEY ORDER
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There’s a Better Way
Detach and complete the Money Order Deposit Slip at the
bottom in blue or black ink.
Send money without a money
order – and get the payment
posted the next day!*
Make the Money Order payable to JPay.
Place the Money Order and the Deposit Slip in an envelope.
www.JPay.com
Mail to: JPay, PO Box 260010, Hollywood, FL 33026.
Sign up for your free account now.
Make sure to...
JPay Mobile
Free mobile app for Android and iPhone.
• Write clearly on the form to avoid delays processing the
money order 800-574-5729
• Not include any letters or notes with your payment
because these will be discarded.
Toll-free phone number, 24/7.
• Verify that the inmate name and DC# are entered correctly
on the money order deposit slip.
In-person/Cash
MoneyGram locations including CVS & Walmart.
I n addition to money orders, cashier’s checks and certified bank drafts are also
accepted. All procedures, terms and conditions apply.
Visit JPay.com for Terms & Conditions. A JPay account is not needed to send Money
Orders. Call 866-333-5729 if you need more information or assistance completing
this form. Incorporated by Reference in Rule 33-203.201, F.A.C. FLDOC Form.
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* Some facilities do not process on holidays or weekends.
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Money Order Deposit Slip
FOR INMATE DEPOSITS
Mail to: JPay, PO Box 260010, Hollywood, FL 33026
Money Order Amount – maximum $999.99
Inmate’s DC#
Inmate’s State
F L
Inmate’s Full Name (Last, First)
Your First Name (Person Making Payment)
Your Last Name (Person Making Payment)
DC2-363 (Effective --/--)
ALL FIELDS REQUIRED
Your Address _____________________________________
City __________________________________
State ________________ Zip _____________
Email_________________________________
Your Phone Number (Person Making Payment)
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