? Back
1. Explanations & Definitions • 2. Arrest and Booking: what to expect • 3. Instructions • 4. Contact Fraud Aid Form
Please use the form below to provide the basic information we need to properly attend to your situation.
A Fraud Aid Fraud Victim Advocate experienced in working with fraud victims who have been arrested and their attorneys will be in contact with you shortly.
This is a secure form TERRILL - PLEASE COMPLETE THIS SENTENCE. THANKS!
First Last
Email:
Home phone:
Work phone: (Ex. 555-555-5555) Best time to call:
Cell phone: (Ex. 555-555-5555) Best time to call:
Other:
Name:
Relationship:
Phone: (Ex. 555-555-5555) Best time to call:
US Residents or Visitors
Are you a US citizen? Yes No
If no, are you in the US on a:
Work visa
Student visa
Tourist visa
Other visa
None of the above
Where do you live?
US Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Guam Hawaii Idaho Illinois Illinois Iowa Kansas Kentucky Louisiana Maine Maryland Marshall Islands Massachusetts Massachusetts Michigan Micronesia Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Canada
Other Country
Where were you arrested?
Were you arrested:
In same town as where you live
In a different town than where you live
In a different county than where you live
In a different state than where you live
In a different country than where you live
At a store
At a bank
At my home
At work
Other
You were arrested by:
Arraignment
Have you been arraigned? Yes No
If you answered yes:
My attorney was present (This includes an attorney temporarily assigned to you at the arraignment)
My attorney was not present
The arraignment was continued while I find an attorney
New arraignment date:
The arraignment was continued pending the assignment of a Public Defender
If you answered no:
What is the date of your arraignment?
Can you afford a Criminal Defense Attorney? Yes No
If yes, have you contacted a Criminal Defense Attorney? Yes No
If no, have you contacted the Public Defender's Office? Yes No
Indictment
Have you received your indictment? Yes No
If yes:
What is the name of the court?
What are the exact charges?
____________________________________________________________________________________________________
PLEASE REVIEW YOUR ANSWERS BEFORE SUBMITTING. One of our Fraud Victim Advocates will be in touch with you to review your situation and to assist your attorney.