QUESTIONNAIRE
 


Represented by an attorney?
Yes No
High Profile Case?
Yes No
Indigent? Nationality Sex Age Number of Years on Death Row
Y N
 
Direct Appeal? Post-Conviction?
Yes No Yes No
Date of Conviction Date of Decision
in Habeas Corpus
Date of Decision
in Habeas Corpus
 
Inmate's Name/Number Your Name
Address Address




Telephone Number Telephone Number
E-Mail Address E-Mail Address
 
Potential Legal Issues
(Check all that are applicable)
Alibi
No Physical Evidence
New Evidence
Mental Illness/Retardation
DNA
Confession Issues
Recantation of Witness Testimony
Jailhouse Informant
Perjured Testimony
Prosecutorial Misconduct
Mistaken Eyewitness Identification
Exculpatory Evidence
Suppressed by the Government
Race an Issue
Ineffective Counsel
Co-defendants
Police Misconduct
 
Statement of Innocence
In the space provided, please state why you or the death row inmate is innocent
or why the system has unquestionably failed the inmate or you.

 
Federal Conviction? State Conviction? Military Conviction?
Yes No Yes No Yes No
 
Select State(s)


To select multiple states, hold the CTRL key when clicking.
 
You must complete all of the above information. If you do not, you will not be able to submit it. After the e-mail is sent, if the preliminary qualifications for the "Innocence Project" are satisfied, an attorney will contact you for additional information to determine the merits of the case.
 
 
   
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