Court Intake Form
If you have minor infractions you need to appear on, please fill out this form.  We are ONLY able to hear misdemeanor offenses for Contra Costa County and Alameda County. Autry James, our Court Coordinator, will be conducting an examination of records to determine what court offensives are eligible to be heard.  
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DATE:  *
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Participant's Name: First MI Last *
Last four of SS Number: *
Date of Birth:      *
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ID/DL Number: *
Address: *
Cell Phone Number: *
County(ies) of Offense: *
Required
DOCKET NUMBERS, if unknown, please write UNKNOWN *
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