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LEGAL RESEARCH REQUEST

PLEASE COMPLETE ALL PORTIONS OF THIS FORM.

FAILURE TO COMPLETE MAY RESULT IN DENIAL OF YOUR REQUEST.

Name and Date: ____^_ Housing:

Booking Number: Date of Incarceration:

Can you read and write English? • Yes • No ?Puede hablar y leer inglies? • Si • No

Are you: • Pre-trial? • Post-conviction?

Date of Conviction: (if known)

Please check (V) the boxes next to the topics for which you need assistance:

H Current Criminal Case n Current Civil Case:

• Habeas Corpus (general)? • Civil rights 42 U.S.C.A. 1983 (Conditions of Confinement)

• Post conviction Habeas Corpus? n Appeal

• Federal Habeas Corpus? • Other (Briefly explain and indicate whetherit is related

• Other (Briefly explain) to the conditions of your confinement)

Are you represented by counsel in the above case(s)? El Yes O No

Attorney name:

Self Representation approved by court? C Yes E No

Briefly describe the materials that you are requesting or the subject matter on which you are seeking

assistance. . .

Inmate Signature

Date Request Received: ,

Staff Response:

TCSO Staff Signature / Date of response

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LEGAL RESEARCH REQUEST

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PLEASE COMPLETE ALL PORTIONS OF THIS FORM.

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Name and Date.

Booking Number.

Housing:

Date of Incarceration:

Can you read and write English? • Yes D No ?Puede hablar yleer inglies? • Si • No

Are you: d Pre-trial? • Post-conviction?

Date of Conviction: ____^ (if known)

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n Other (Briefly explain)

the topics for which you need assistance:

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n Appeal

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to the conditions of your confinement)

Are you represented by counsel in the above case(s)7

Attorney name

Self Representation approved by court7 H Yes • No

Briefly describe the materials that you are requesting or the subject matter on which you are seeking

assistance. I

• Yes • N(

Date Request Received

Staff Response.

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Inmate Signature

TCSO Staff Signature / Date of response
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Name and Date: Jr^U L^Ht hlWf^ f Housing: MA£j2A—

Booking Number: 1SflQg S3 Date of Incarceration: X'2.1-IS.

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Name and Date: /IrriulJ l^M^Ht

Booking Number: I $"<9 /£ S 3

Can you read and write English? • Yes • No ?Puede hablar yleer inglies? • Si • No

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