Detention Referral Form
To refer a detainee for assistance, please fill out the information below and a member of our CT Students For A Dream staff will be in touch with information about the next steps of the process. Depending on what you need, this request will start the process to assist you in finding humanitarian or bail support, legal representation, and the information you need to prepare ASAP. **PLEASE NOTE THAT FILLING OUT THIS FORM DOES NOT MEAN YOU HAVE LEGAL REPRESENTATION**
Name of organization making referral
*
Please Select
Danbury Unites For Immigrants (DUFI)
Hartford Deportation Defense (HDD)
New Haven Immigrant Coalition (NHIC)
Nosotras
Quetzal
SNUI
Unidad Latina en Acción
New London Immigrant Defense (NLID)
Other
If Other, name of organization:
Name of Organization Contact filling out this form
Organization Contact Email
Organization Contact Phone
Name of Primary Family/Friend Contact
Primary Contact relationship to the detainee
Primary Family/Friend Contact Email
Primary Family/Friend Contact Phone
Town where Primary Contact lives
Detainee FULL NAME
Country of Birth
Detention Facility (if known)
What kind of support are you looking for?
Legal Support
Bail Fund
Humanitarian Support (cash aid, food assistance, counseling, etc)
Other
Is there anything else you would like us to know right now?
Submit
Should be Empty: