Application For 21st Drug Court
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application For 21st Drug Court Form. This is a Tennessee form and can be use in Williamson Local County.
Loading PDF...
Tags: Application For 21st Drug Court, Tennessee Local County, Williamson
APPLICATION FOR 21ST DRUG COURT
Date: _________________________
Applicant’s Full Name:_____________________________________________________
Social Security No:____________________Date of Birth:___________________
Sex:___________________Race:_________________
Address:________________________________________________________________
Are you currently in jail? _______ If so, what is your release date?__________________
If not in jail, how can you be contacted?_______________________________________
What is your lawyer’s name?________________________________________________
What are your current charges?______________________________________________
What is your Docket No._____________________________________________
Do you have a pending court date?____________________________________________
Which court/judge?__________________________________________________
List any previous convictions:_______________________________________________
________________________________________________________________________
________________________________________________________________________
Please return to: Gayle Moyer Harris, Drug Court Coordinator
1909 Columbia Avenue, Franklin, Tn. 37064
Phone: (615) 595-7868 Fax: (615) 595-1362
American LegalNet, Inc.
www.USCourtForms.com
