Statement of Parolee or Releasee Concerning Appointment of Counsel | USA

Prepare a Statement of a parolee or mandatory releasee concerning the appointment of counsel under the Criminal Justice Act with this free US Federal Court form.

• The parolee or releasee must specify whether or not he/she wants to apply to the court for appointment of counsel. If so, he/she must provide financial information to support the application.
• The information provided must be truthful. Making a false statement is punishable by fine and/or imprisonment.
• USA Statement of Parolee or Mandatory Releasee Concerning Appointment of Counsel under the Criminal Justice Act, United States District Court Form CJA 22 (9/76).