• ADVICE OF RIGHTS:

  • Please read the below statements and place a checkmark in the box to indicate your understanding of the CIU’s involvement in your case. This form must be returned with the Application.

  • Click on 'Next' to continue onto the Application form.

  • APPLICATION

    • Contact Information 
    • Format: (000) 000-0000.

    • Attorney’s Contact Information:
    • Are you presently represented by an attorney?
    • Format: (000) 000-0000.

    • Contact Information of Person Preparing Application for Convicted Defendant:

    • Is the Applicant having someone else prepare this on behalf of the convicted defendant?
    • Format: (000) 000-0000.
    • Relationship with Prep-Person:

    • Persons who are not attorneys and who submit claims with CIU on behalf of a convicted defendant will be asked to provide a letter, signed by that defendant, which authorizes the person to file the Application and to receive information from CIU. Please send the signed and dated letter with the Application.

    • Do you read, write and speak English?
    • Do you read, write and speak another language?
    • Are you a U.S. Citizen? (Your answer will not impact whether your Application is reviewed and/or investigated.)
    • Are you currently part of any deportation proceedings?

    • Please Provide: Case Number Court
      Judge    

    • CONVICTION 
    • Offense Date:*
       - -
    • Conviction Date:*
       - -
    • Sentence Date: *
       - -
    • Did the conviction arise from a plea or a trial?
    • If from a trial, was there a jury?
    • If you were convicted of multiple counts, are you now asserting that you are innocent of all those charges?
    • Other than your direct appeal, have you filed any other court challenge to your conviction?
    • INNOCENCE CLAIM 
    • Does your case involve any of the following evidence: (Check all that apply)
    • Were any of the above used at the trial?
    • Was any of the above available and not used at trial?
    • DOCUMENTS YOU HAVE 
    • Please check all that you have in your possession.  Do not send unless requested.
    • Date Signed
       - -

    • Do not send any additional materials unless we specifically request that you do so. We cannot guarantee that documents submitted to this Unit will be returned. 

      Send Completed Advice of Rights and Application by clicking on Submit below.

    • Should be Empty: