Covid Bail Out NYC Attorney/Social Worker Requests
Thank you for requesting a community bail out for your client. Please complete this form, providing as much information as you can.

We receive many more requests than there are donations to support. **We rely on information from you, your client's family, and your client to prioritize bail out support.** While funds are limited, we prioritize support for those facing the most immediate risks (physical, medical, mental, emotional) while locked up in NYC jails. Our financial limitations aside: EVERYONE DESERVES support; NO ONE SHOULD BE IN CAGE.

We are run by dedicated volunteers, who can currently respond only to requests we can support. We will carefully review your request. If you haven't heard from us, we're so sorry, but for now we had to prioritize other people in the jails.

After submitting this form, you can reach out to us at to follow up or update us about your client. We cannot take attorney/social worker bail out requests by email (or phone), so we're glad you made it to this form.

Updated: April 25, 2022
Sign in to Google to save your progress. Learn more
Email *
Client Name (and preferred pronouns) *
Book & Case Number *
What types of bail have been set? *
List all bail and bond amounts, and any conditions (e.g., surety bond percentage, number of sureties) *
Does your client have any holds (e.g. parole, immigration) or active warrants that would prevent the client from being released if bail is posted? *
Was a 72-hour-surety hold ordered? *
Do you plan to submit a writ of habeas corpus or an application to modify your client's bail? *
What needs will your client have upon release? Please note if you've already arranged support for any of these needs. *
Have you spoken with your client about our work, and does your client consent to their bail being posted? *
Have you submitted a request to another bail out group or to a bail fund? *
Attorney Name *
Attorney Phone Number *
Your contact information (name, phone number, email) if you're *not* the assigned attorney. (If you are a friend or family member, please stop here and ask the attorney to fill out this form.)
If possible, please tell us if your client is medically vulnerable and/or is encountering harm while in jail. (NOTE: While your answer will determine whether or not we're able to prioritize support for your client, please share only non-confidential information with your client's consent. If you need more time to get their consent, you may indicate that here. Please don't share information about your client's charges, case, or history with law enforcement. Thank you!)
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy