MO Black Protester Relief Fund: Protester Support Request Form
This form is solely for Black/African protesters currently in police custody requiring bail for their release and is strictly confidential. If any information is not available yet or you do not wish to provide it, please note this below or simply respond with N/A. Our goal is to secure timely freedom and work to ensure access to adequate legal representation.

Please encourage donations to the official Missouri Black Protester Relief Fund here: https://bit.ly/2ZSrqyw
Name of Person Requesting Bail *
Emergency Contact Person *
Contact Information *
Location of Detainment (i.e., Kansas City East Patrol or Ferguson City Police Jail) *
Bail Amount *
Link to Post Bail *
Have you retained an attorney? Feel free to explain your circumstances in the 'Other' option. *
Anything else you would like to share and/or feel is pertinent?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy