A parent or legal guardian of a minor must fill out this form to provide written authorization for the correspondence between an offender and a minor. One form per minor must be completed.

Registration of Minor Child for Correspondence with an Offender

*Complete one form for each minor*
"K.A.R. 44-12-601"

(11)(A) No offender shall correspond with a minor, either directly or through any third party, unless one of the following conditions is met:

(i) A parent or legal guardian of the minor has filed written authorization for the correspondence between the offender and the minor with the director of victim services in the department of corrections central office.

(ii) If the minor is the offenders natural or adoptive child, the correspondence is authorized pursuant to paragraph (b)(10)(C), and the offender has registered the child by providing the name, date of birth, and address of the natural or adoptive child to the director of victim services.

(B) The director of victim services shall notify the warden of the facility where the offender is incarcerated of any written authorization for correspondence with a minor who is not the natural or adoptive child of the offender, as well as the registration information of the offender's natural or adoptive child.

All requested information must be completed to submit form.

Offender's Information


Type in first name of offender.

Type in last name of offender.

Type in offender's KDOC registration number.

Minor's Information

Enter information for one minor only. A separate form must be completed and submitted for each minor.

Type in first name of minor.

Type in last name of minor.

Enter date of birth of minor.

Enter address of residence for minor.

Type in city of residence for minor.

Select state of residence of minor. If not residing in the U.S., check box above.

Type in zip code of residence for minor.

Type in complete address for minor who is a non-U.S. resident.

Parent's/Legal Guardian's Information:

Check box to certify.

Type in your first name and last name as parent/legal guardian of minor.