Advocates for Wrongfully Convicted / Prisoner Questionnairquestionnaire

IMPORTANT! Please read Adovacates for Wrongfully Convicted Criteria before completing this form!

* required information

PRISONER INFORMATION:

*Name:

Date of Birth:

*Age:

*Mailing Address:

*City:

*State:

*Zip:

Name of nearest relative:

How related:

*Crime(s) convicted of:

*City/State crime(s) committed:

*DNA used to convict:

*How convicted:

*Innocent:

*Date Convicted:

*Length of sentence (years):

*Date eligible for parole:

*How long in prison:

*Name of Prison:

*Location: (city/state):

*Name of trial lawyer:

*Do you have an appellate lawyer:

Name:

*Appeal filed:

Date filed:

Ruling reached:

Result of appeal:

*DNA available for testing:

Type of DNA (if applicable):

*Expectations of A4WC:

Comments:

CONTACT INFORMATION:

*Name:

*Relationship to Prisoner:

*Mailing Address:

*City:

*State:

*Zip:

*Phone:

Email:

*Why you feel prisoner is innocent:*Why you contacted A4WC::

*Capability to raise money (legal fees, DNA testing , PI, etc.):

*Your expectations of A4WC:

Comments: