Give us as much info as you can so we can find your details easily. At a minimum, we need your:

  • Full Name

  • Date of Birth

  • 1 way to contact you (text, email or phone)

  • Any other details you can share make it easier for our team to see how we can help you.

We will need to get in touch with you, so please fill out at least one of the CONTACT OPTIONS below: Text Number? Email? Phone?

We need your full name, including your middle name, to process this request.
What's your DOB? *
What's your DOB?
We need your Date of Birth to process this request.
Pick one option please
Text Number?
Text Number?
What's the number to text you on?
Phone (for a voice call)
Phone (for a voice call)
What's the phone number where we can reach you?
If you know your case number, enter it here if possible.
What DATE were you arrested or in contact with law enforcement (related to this request please).
About what time of day did this happen?
Do you know what law enforcement agency you dealt with? Any details you remember can be helpful, even if you don't know the name of the exact police force.