Parole Advocacy Initiative Pre-Intake
Use this form to request legal assistance on behalf of a parole applicant who is appealing a denial of parole. The Parole Advocacy Initiative prioritizes applicants with a maximum sentence of life in prison. Completing this form does not guarantee representation and does not create an attorney-client relationship.
Sign in to Google to save your progress. Learn more
Your name *
Your email address (preferred) or phone number *
Your relationship to the parole applicant *
Parole applicant's name *
Parole applicant's DIN *
Date of most recent parole denial *
MM
/
DD
/
YYYY
Do you have a copy of the parole denial decision? *
Has a notice of administrative appeal been submitted to the Appeals Unit of the Parole Board? *
If yes, when was it submitted?
MM
/
DD
/
YYYY
Did the applicant receive assistance from any organization with the most recent parole interview? *
If yes, please provide the name of the organization.
Please provide a brief description of the case.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fordham University.

Does this form look suspicious? Report

Google Forms