KPB Comment Form

Persons who wish to comment on the prospective parole of an individual should place their remarks in the space provided below. All comments made on this form will be considered CONFIDENTIAL and for use only by the Kansas Parole Board in making a parole decision.

PLEASE COMPLETE ALL PORTIONS BELOW:

NAME OF INMATE ON WHOM YOU ARE COMMENTING: (view list)

Last Name

First Name

KDOC #

IN WHAT CAPACITY ARE YOU COMMENTING?

Family of inmate Friend of inmate Victim of crime Family of victim Friend of victim Law enforcement official Interested citizen Other (Please specify below)

Other Relationship

COMMENTS CONCERNING SUITABILITY FOR PAROLE:

PLEASE CHECK ONE OF THE FOLLOWING:
This inmate's release I SUPPORT.
This inmate's release I OPPOSE.

YOUR NAME AND ADDRESS (OPTIONAL):

Last Name	First Name	Street Address
City	State	Zip Code
Area Code / Telephone Number	Email

Please use a separate form for each offender. If you have any questions please contact Kansas Parole Board at (785) 296-3469, or email to KPB@kpb.ks.gov If you prefer to comment by mail you may download and fill out this form.