Citation Number (on citation) *if you have not received a citation note that here* *
Your answer
My citation say Ramsey County on it *
Court File Number (For Hennepin: 27-CR-20.... / For Ramsey 62-CR-20....) If you have it already, not everyone does.
Your answer
Court Date: (if you have one)
MM
/
DD
/
YYYY
I am under the age of 18 *
I was arrested with my children who are under the age of 18 *
Check which of the following urgent concerns (if any) applies to you *
Required
I was arrested as a medic, legal observer, or member of the media
Clear selection
I was injured during my arrest *
What are your current intentions regarding your charges? *
Required
What are your current intentions/needs around representation? *
Required
I need help paying a fine if that is how my case resolves (There is no guarantee at this point through MUAS that this help is available, but getting a sense of need) *
I consent to have my email shared with other groups organizing around these charges *
I consent to have my phone number shared with other groups organizing around these charges *
I am interested in leading arrestee organizing for a specific group of arrestees ( Use "Other" if your answer is yes to describe this group, e.g. educators, BIPOC arrestees, students, medics etc.) *
I have been arrested and charged during other political work since May 2020 (protests, encampment support, etc)
Clear selection
I would be comfortable receiving requests from the media to discuss my experience as an arrestee
Clear selection
Other things to note: (do not share incriminating information)