Criminal Justice Program Form
Do you have a loved one in Salt Lake County Jail who needs addiction and mental health services? Our Criminal Justice Program (CJP) works with incarcerated people in Salt Lake County to receive treatment while serving their court sentence.
Is your loved one in the Salt Lake County Jail? Please note, this program is only offered in Salt Lake County. If your loved one is in a different County Jail, you can advocate for them to be transferred to Salt Lake County Jail. You will need to work with their' legal team to facilitate this.
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YES
NO
Do they have more than 120 days on their sentence?
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YES
NO
What level of security are they in?
*
Minimum
Medium
Maximum
Not Sure
Have they used drugs/alcohol in the last 6 months? (yes, no)
*
YES
NO
What is your loved ones Name
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First Name
Last Name
What is their date of birth?
*
-
Month
-
Day
Year
Date
Are they being represented by a public (LDA) or private attorney? (dropdown: LDA, Private, not sure)
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LDA
Private
Not Sure
What is their SO number?
*
What is your Name?
*
What is your phone number?
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Please enter a valid phone number.
Format: (000) 000-0000.
What is your email?
*
example@example.com
Would you be interested in a family support group for people with incarcerated loved ones?
*
YES
NO
Submit
Should be Empty: