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Bail Requests
Referrals are responded to in the order they are received. Assistance with bond is not guaranteed. After you submit the request, a team member will reach out to you directly as soon as we can.
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* Indicates required question
Email
*
Your email
Incarcerated Individual's Name
*
Your answer
Incarcerated Individual's Date of Birth
*
MM
/
DD
/
YYYY
Contact info for incarcerated individual
*
Your answer
Name of person making referral?
*
Your answer
Relation to incarcerated individual?
*
Your answer
Contact Info for person making referral (phone and email)
*
Your answer
Detention Center
*
Your answer
Charge
*
Your answer
Bond Amount (FULL BOND AMOUNT - NOT Percentage)
*
Your answer
Incarcerated Individual's Race/Ethnicity
*
Black/African American
White
Asian/Pacific Islander
American Native or Alaskan Native
Hispanic/Latino
Other:
Incarcerated Individual's Gender Identity
*
Female
Male
Non-Binary
Other:
Does the individual have holds in other cities/counties?
*
Yes
No
Don't Know
If yes, where is the hold and what is the charge?
Your answer
Are there any pretrial conditions such as house arrest/pretrial monitoring/drug tests/etc? If yes, what are the conditions?
*
Your answer
Anything we need to know about this charge/situation or additional info?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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