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2. THE COURT WILL NEED THE FOLLOWING INFORMATION FOR ALL CRIMINAL DEFENDANTS:
4. Last Name:*
6. First Name:*
8. Warrant Numbers:*
10. Please choose one:*

    1. I have hired a private attorney
    2. I plan to hire a private attorney
    3. I plan to apply for a public defender
    4. I have chosen to represent myself (see Farretta Warnings link below)
12. Name of private attorney if checked:
14. Date of Application (if applied for a public defender):
16. Faretta Warnings
    Faretta Warnings
18. Public Defender Application
    Public Defender Application
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field