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2. ATTORNEYS: If you are able to take this case, please email the County Administrative Office.

   Please forward this request to:

   HCAAP@co.humboldt.ca.us

   Please include in the email a message stating that you can accept the case.

6. HCAAP Attorney Request Form
   The Humboldt County Superior Court, Humboldt County Public Defender and/or Conflict Counsel may request a private defense attorney to represent a defendant. Requests will be received by the County Administrative Office, who will process the request. This form includes certain information that must be included with the request to secure a private defense attorney through the Humboldt County Court Appointed Attorney Program (HCAAP). Please note: Each defendant will need a separate request form to be filled out and submitted.
8. REQUESTER INFORMATION
10. Requester Full Name*
11. Requester Phone Number*
13. Requester email address*
14. Requester Agency*
16. CASE INFORMATION
18. Defendant Last Name*
19. Defendant First and Middle Name*
21. Docket Number*
22. Charges*
23. Is Defendant In or Out of Custody? *
    -- Select One --Defendant is IN CustodyDefendant is OUT OF Custody
25. Type of Case*

    1. Adult Criminal
    2. Juvenile Criminal
    3. Family Law
    4. Civil
26. Type of Crime

    1. Violent
    2. Property
    3. White-collar
    4. Organized
    5. Consensual or victimless
27. Level (select all that apply)

    1. Capital Felony
    2. 1st-Degree Felony
    3. 2nd-Degree Felony
    4. Misdemeanor - Gross
    5. Misdemeanor - Standard
    6. Infraction
29. Arraignment Date and Time*
    Arraignment Date and Time

    Arraignment Date and Time

    If client is out on warrant, please write the date and time as: 

    01/01/2999

    12:00 am

30. Courtroom to Appear In*
32. Name(s) of Co-Defendant(s)*
33. Who is Representing Co-Defendant(s)*
    -- Select One --Public DefenderConflict CounselPrivate AttorneyNo Co-Defendants
35. Notes or other cases in which the defendant has been involved

    Please note here if client is out on warrant. Other case information should be provided as info is available. This will normally come from the Public Defender and/or Conflict Counsel. 

37. Level of Attorney Requested*

    1. Class 1
    2. Class 2
    3. Class 3
    4. Class 4
    5. Not Sure
38. Where can the appointed attorney pick up discovery?*

40. Class Type	Examples
    Class 1 - Cases where a defendant is charged with felonies listed in paragraphs (1), (2), (7), and (16) of subd. (c) of  Penal Code section 667.5.	Murder/mayhem Any felony punishable by death or life imprisonment Continuous sexual abuse of a child
    Class 2 - Felonies as defined in Penal Code section 667.5 NOT listed in Class 1; AND all other felonies carrying a maximum exposure of 10 years or more; OR a combination of felonies, AND/OR a combination of felonies and special allegations carrying a maximum exposure of 10 years or more. Sexually violent predator cases are included in Class 2.	Attempted murder Sex crimes Any felony in which the defendant inflicts great bodily injury on a person other than an accomplice Robbery Kidnapping Arson Assault Carjacking Burglary - 1st degree inhabited dwelling Use of firearm during commission of a felony
    Class 3 - All felonies not described by Classes 1 and 2, and any misdemeanor that requires registration as a sex offender. Misdemeanor appeals are included in Class 3.	All felonies not described by Classes 1 and 2 Any misdemeanor that requires registration as a sex offender Misdemeanor appeals
    Class 4 - All misdemeanors not described by Class 3 and misdemeanor appeals.	All misdemeanors not described by Class 3 and misdemeanor appeals

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field