Any information that you provide in this Form is private and will be held in the strictest confidence, except as needed by the Parties and the Court. It will not be provided to any Government Agency other than the Defendant. Most of the information requested is already in the possession of the Defendant through your arrest record for this protest. The information provided will be used solely for purposes of this litigation.
If you have questions about this matter, you may contact us by email at email@example.com. You may also
contact us at the mail address above and the website: http://www.protestlosangeles.com.