Legal Help Request Form - Inmates' Rights

First Name

Last Name

Email Address

Home Phone

Work Phone

Street Address

Street Address (cont)

City

State

Zip Code

What area of law, if any, do you believe is involved in your situation?

Do you feel that any of your civil liberties were violated?

Have you retained an attorney or other legal entity to represent you on this legal issue, or requested legal representation from anyone? If so, please include their contact information and indicate whether you give your permission for The Rutherford Institute to contact them.

How did you hear about The Rutherford Institute? Internet Television Radio Newspaper Other

Are you an inmate or are you submitting this information on an inmate’s behalf?

What is the name of the institution involved?

Who are the institution officials involved? Please include names and positions.

How much more time is left on the sentence?

Does the institution prevent free exercise of inmates’ religious beliefs? If so, please describe.

Does the institution provide substandard medical care? If so, please describe.

If the issue is not religious or medical, please describe it.

Have administrative appeals (such as informal complaints, or formal grievances) been made? If so, what levels of appeals have been made, when were they filed, and what were the specific responses?

Have any administrative appeals been ignored or answered late? If so, please explain.

How do you believe The Rutherford Institute could help (i.e., giving advice, writing a letter, providing an attorney, etc.)?

Is there any other information that you would like to share or think we might need to know?