Form IMPP 10-113D at a glance
What it is: Kansas Department of Corrections Application for Visiting Privileges, Attachment A, IMPP 10-113D.
Who signs: Sign on Visitor or Visitor's Guardian Signature and enter the Date.
Where and when to file: Completed applications are to be mailed to the facility at the address in Address, City, St, Zip, Attention: Visitation.
A filled-in Form IMPP 10-113D example: an adult friend applies to visit
How to fill out Form IMPP 10-113D, box by box
Facility, resident and date
Enter the Facility, Address, City, St, Zip and Date, and the Resident to be Visited: Name and KDOC#.
Name of applicant and Maiden Name /Alias
Under Visitor Identification, enter the Name of applicant: First, M and Last, and the Maiden Name /Alias: First, M and Last.
Authorized Guardian
If under 18 years old, enter the Authorized Guardian: First, M and Last.
Identifying Information
Under Identifying Information, enter the Relationship to resident (father, wife, friend), Race and Gender: M or F.
Current Address
Under Current Address, enter the Street, City, State, Zip and Phone number.
Date of Birth, Social Security # and DL/ID
Enter the Date of Birth, Social Security #, DL/ID State and DL/ID#.
Approved to visit another KDOC Resident
Enter Yes or No for Are you approved to visit another KDOC Resident? and enter the Relationship. If yes, enter Name, Number and Facility.
Probation or parole
Enter No or Yes for Are you on probation or parole? If Yes, enter which State and County.
Employee, contractor or volunteer of the Kansas Department of Corrections
Enter No or Yes for Have you ever been, or are you currently, an employee of the Kansas Department of Corrections, an employee of any contractor to the Kansas Department of Corrections, or a volunteer within the Kansas Department of Corrections?
Details of that past or present employment and volunteer activity
If yes, please provide the details of that past or present employment and volunteer activity.
Victim of the person you wish to visit
Enter No or Yes for Were you a victim of the person you wish to visit or were any of your immediate family a victim of the person you wish to visit? If YES, you must initiate this request through the Department's Victim Services.
Victim Services can be reached by writing to: Office of Victim Services Kansas Department of Corrections 714 SW Jackson, Suite 300 Topeka, KS 66603 or by calling, 1-866-404-6732.
Visitor or Visitor's Guardian Signature
Sign on Visitor or Visitor's Guardian Signature and enter the Date.
More rules for Form IMPP 10-113D
All questions must be answered. Incomplete applications must not be processed! Omissions or falsification could result in denial of visiting privileges.
A copy of an official birth certificate is required for each visitor under 18 years of age. For infants under 30 days old, a hospital certificate of birth can be used for infant identification.
Non United States citizen visitors must provide a photocopy of at least one (1) of the following documents when submitting an application: 1. Passport 2. Visa 3. Resident Alien Card 4. Permanent Resident Card 5. Employment Authorization Card.
The use or possession of all tobacco products by any person is prohibited on department property. The only exception is for visitors to secure tobacco and tobacco-based products in their personal motor vehicles in the facility parking lot, unless they are intended for distribution within a facility.
Common questions about Form IMPP 10-113D
How long does it take to get approved for inmate visitation?
Do not mail applications to residents. Allow 4 to 6 weeks for processing of applications. Visitors are to familiarize themselves with the Visitor Handbook for the facility they wish to visit.
Can you bring your phone to a jail visit?
Any visitor's possession of a cell phone on the grounds of a correctional facility (except within the confines of his or her vehicle) is prohibited. Violation may result in termination of visits, suspension of visiting privileges, and/or possible prosecution.
Where do I file it?
Completed applications are to be mailed to the facility at the address in Address, City, St, Zip, Attention: Visitation.
Is there a penalty?
The use or possession of all tobacco products by any person is prohibited on department property, and violations of this policy may result in termination of visits, suspension of visiting privileges, and/or possible prosecution.
Sources
[1] Form IMPP 10-113D (Effective 08-24-21), Application for Visiting Privileges, Kansas Department of Corrections (the Official source link on this page).