XRNYC Jail Support Form
Jan. 26 2019 Action

Some "Know Your Rights" resources can be found at http://xrr.nyc/KYR
Magic Phrases and the Three Levels of engagements with Police.

Name *
Your answer
Email *
Your answer
Nicknames *
Your answer
Phone number
Your answer
Birthdate
MM
/
DD
/
YYYY
Gender
Your answer
Do you have the Signal app on your phone? Can you download it if not?
When do you need to be out of jail by?
MM
/
DD
/
YYYY
Any medical conditions, allergies, or medications you want us to know about?
Your answer
Person to contact if you are arrested
Your answer
Person's relationship to you
Your answer
Their phone number
Your answer
What should we tell them?
Your answer
Anything else?
Your answer
Submit
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