Intake form - Legal Advocacy

Name (person completing this form) ' *

Email address *

Phone number *

Name of individual you are requesting services for *

How are you associated with this person? *

What is their DC Number? *

Trial Court Case Number(s) (if known)

Approximate month and year of conviction *

Have they previously filed for post conviction relief either pro se or through counsel?

Have they been barred from filing pro se? *

Was their conviction(s) the result of a jury trial or plea? *

Were they designated as either VCC, HFO, HVFO, or PRR for sentencing? *

Do they have an upcoming filing deadline or hearing scheduled? If so, when? *

What type of assistance are you seeking? (please check all that apply) *

Please select at least one option.

Post Conviction Relief (3.850 or 3.800)

Direct appeal of trial court conviction

Appeal of post conviction denial or dismissal

Belated appeal

Jail Credit

DNA Testing

Federal Habeus

Case Review

Other legal advice

I don't know, I just want more information.

Are there any details about their case that you think we should know?

How did you hear about us? *

Post Conviction Project Inc.