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                                  LEGAL RESEARCH REQUEST

                    PLEASE COMPLETE ALL PORTIONS OF THIS FORM.
      FAILURE TO COMPLETE MAY RESULT IN DENIAL OF YOUR REQUEST.

Name and Date:                                                    ____^_         Housing:
Booking Number:                                          Date of Incarceration:
Can you read and write English? • Yes • No ?Puede hablar y leer inglies? • Si                          • No
Are you:        •    Pre-trial?        •   Post-conviction?
Date of Conviction:                                              (if known)


Please check (V) the boxes next to the topics for which you need assistance:
H Current Criminal Case                       n       Current Civil Case:
•     Habeas Corpus (general)?               •        Civil rights 42 U.S.C.A. 1983 (Conditions of Confinement)
•     Post conviction Habeas Corpus?          n Appeal
•     Federal Habeas Corpus?                  •       Other (Briefly explain and indicate whether it is related
• Other (Briefly explain)                     to the conditions of your confinement)



Are you represented by counsel in the above case(s)?             El Yes          O No
Attorney name:

Self Representation approved by court?        C Yes            E No
Briefly describe the materials that you are requesting or the subject matter on which you are seeking
assistance.                                       .                         .




                                                                                 Inmate Signature

Date Request Received:                                      ,
Staff Response:




                                                                 TCSO Staff Signature / Date of response

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                                   LEGAL RESEARCH REQUEST
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                     PLEASE COMPLETE ALL PORTIONS OF THIS FORM.
         FAILURE TO COMPLETE MAY RESULT IN DENIAL OF YOUR REQUEST.

Name and Date.                                                                        Housing:

Booking Number.                                             Date of Incarceration:

Can you read and write English? • Yes D No ?Puede hablar yleer inglies? • Si                              • No
Are you:            d Pre-trial?          •       Post-conviction?
Date of Conviction:                       _ _ _ _ ^ (if known)


Please check (•) the boxes next to the topics for which you need assistance:
D        Current Criminal Case                       •   Current Civil Case:

•        Habeas Corpus (general)7                    •   Civil rights 42 U S.C.A. 1983 (Conditions of Confinement)

•        Post conviction Habeas Corpus7              n   Appeal
D Federal Habeas Corpus?                             •   Other (Briefly explain and indicate whether it is related
n Other (Briefly explain)                            to the conditions of your confinement)




Are you represented by counsel in the above case(s)7                   •       Ye s   •   N(

Attorney name

Self Representation approved by court7               H Yes                 •     No
Briefly describe the materials that you are requesting or the subject matter on which you are seeking
assistance.                                   I




                                                                                      Inmate Signature

Date Request Received
Staff Response.




                                                                       TCSO Staff Signature / Date of response

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Name and Date: Jr^U L^Ht                                    hlWf^ f Housing: MA£j2A—
Booking Number: 1SflQg S3                Date of Incarceration: X'2.1-IS.
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                                                                   TCSO Staff Signature / Date of response

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Name and Date: / IrriulJ l^M^Ht *•//#//5T   Housing: /• 15 C I-S CS
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