Injustice Spotlight Media Intake
Full Name of the Prisoner
Name
First Name
Middle Name
Last Name
DOC # / Inmate Number
What state is the prisoner incarcerated in?
Convicted of what crime(s)?
Length of Sentence?
Prisoner's Age?
Been incarcerated for how long?
Is the prisoner a Male or Female?
Male
Female
Transgender
Does the prisoner currently have a parole hearing scheduled? If yes, what is the month and year of the parole hearing?
Is the prisoner wanting assistance with? Check all that apply
A parole package
Request for Sentence Commutation
Publication of News Article
Please explain in as much detail as possible the injustices that the prisoner has suffered.
Did the prisoner...
Pled Guilty pursuant to a plea agreement
Went to a jury trial
Pled No contest
Blind Plea
Your Name
First Name
Last Name
What is your relationship to the prisoner?
Family Member
Friend
Husband or Wife
Attorney
Clergy
Okay to contact you by phone?
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your e-mail address?
example@example.com
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I AGREE TO THE FOLLOWING TERMS OF SERVICE RELATING TO PUBLICATION OF A NEWS ARTICLE: THERE ARE NO REFUNDS AFTER ARTICLE IS PUBLISHED ON INJUSTICESPOTLIGHT.COM
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