REQUEST FOR CONTACT VISIT AT MCACName: __________________________________ Phone number:___________________________ Fax number:_____________________________ Case name and number:_________________________________ _________________________________Inmate name and number:_______________________________ _______________________________Reason for contact visit: _______________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________Dates available for contact visit:_________________________________ _________________________________EVERY EFFORT SHOULD BE MADE TO SCHEDULE CONTACT VISIT ONTUESDAY OR THURSDAY Approved: Yes/ No ___________________________ Donna P. Shearer CJA Supervising AttorneyFaxed to Shift Commander on ________________( fax 410-332-4561)Contact visit approved for Date:________________ Signature____________________________ MCAC Official*Form should be faxed to Donna P. Shearer, CJA Supervising Attorney 410-962-3630if you cant reach Ms. Shearer fax request to: Judge James K. Bredar 410-962-2985