RMF Community Bail Fund Application Form
Name *
Case Number and or charges:
Primary Contact Phone Number(s) and/or Email *
Emergency Contact / Name / ​Relationship /Phone Number *
Bail Amount: *
Attorney Name & Phone Number
Special concerns we should be aware of (i.e. lack of legal status, individuals on suicide watch, trans individuals, significant health concerns, anything else that seems important to note):
Bench Warrants in the past 3 yrs (when and where) *
When you submit this form, Race Matters, Friends will evaluate your application and based on criteria and availability of funds, we will contact you with our decision within 48 hours of submission at your main contact number(s) and email.
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