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HomeWhat We DoStabilityReentryReentry Self-Referral Form

Reentry Referral Form

Use this form to reach BayLegal's Reentry unit if you have ever been arrested or convicted of a crime and have a legal issue you would like help with. All the information you provide on this form will be used only to help us reach you and connect you with legal and other resources. Beyond those uses it will be kept confidential and anonymous unless you authorize us to share it with other parties.

"*" indicates required fields

Contact Information

Do you have an arrest or conviction history?*
Name*
MM slash DD slash YYYY
Is there a safe phone number for us to reach you?*
Is it safe to send you mail?*
Mailing Address
BayLegal can provide reentry legal services to residents of Alameda and Contra Costa Counties. We are happy to provide advice and referrals to residents of other counties.

Information About You

Are you a U.S. citizen?*

Information About Your Legal Issue

The legal issues for which I am seeking help include:
(Check all that apply)

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LEGAL ADVICE LINE

800-551-5554

ADMINISTRATIVE OFFICE

1735 Telegraph Avenue
Oakland, CA 94612
510-663-4755

 

CALIFORNIA RELAY SERVICE

Dial 7-1-1 or from TTY dial 1-800-735-2929 or visit California Relay Service for more information.

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