The following form is to obtain your basic contact information. You will be required, as part of your conditional release, to stay in regular contact with the Pretrial Services Office. This may include, check-in by phone, meeting in person at the Pretrial Services Office or meeting at your residence.

The information you give here will be used to maintain the required contact. The information you provide will be verified by Pretrial Services staff members. Misleading or false statements given to the Pretrial Services Office is a violation of your conditional release and may result in your return to custody.

Name(Required)
Email(Required)
Address (where you reside and receive mail)
Information
Please provide the first and last names of any other people you live with and what relationship they have to you.
Name
Relationship
 
Contact
Provide up to 3 additional phone numbers where Pretrial Services can contact you.
Phone
Owner
Relationship