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Were you arrested? *

Yes

No

What city or county were you arrested in? *

When were you arrested? *

Date

Time

What crime were you charged with? *

Have you been formally charged? *

Yes

No

Not sure

Is this your first criminal offense? *

Yes

No

Are you currently out on bond/bail? *

Yes

No

Are you currently on probation or parole? *

Yes

No

What city or county? *

Do you have a court date scheduled? *

Yes, and I know the date

Yes, but I'm not sure when

No, not yet

Court date and time:

Date

Time

Brief description of your situation (optional)

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