Eastern Goldfields Regional Prison - Prisoner Deposit Fund Form

Important requirements

The identity and relationship to the Prisoner must be verified before money can be accepted on the Prisoner's behalf. This can be done through the process of Visiting a Prisoner.

Note: the maximum balance permitted in a Prisoner's deposit account are:
- Prisoner's Private Cash Account (PPCA) - $100
- Prisoner's Telephone Account (PTS) - $120

Registered depositor
Are you a registered Visitor/Depositor?*

YesNo
Sorry you cannot proceed with this form. The identity and relationship to the Prisoner must be verified before money can be accepted on the Prisoner's behalf. This can be done through the process of Visiting a Prisoner.

Prisoner details*

First NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Date
Sender details*

First NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Date
Relationship to Prisoner*
Phone number*
Please enter a valid landline or mobile phone number.
Email address*
Valid email address required to receive the secure payment link and instructions.

Deposit amount and distribution
Prisoner's Private Cash Account (PPCA)
Prisoner's Telephone Account (PTS)
Pre-approved Special Spends Account
Prisoner requires pre-approval
Provide details for Special Spends
Total amount

Please verify that you are human*
Should be Empty: