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REFERRALS ARE NOW CLOSED AND WILL RE-OPEN FEBRUARY 1, 2020. REFERRALS SUBMITTED OUTSIDE THE TIME PERIOD WILL NOT BE PROCESSED WITHOUT PRIOR APPROVAL.

Attorney Information

Attorney Name *

Attorney Email *

Attorney Phone Number *

Attorney Mailing Address *

Defendant Information

Defendant Name *

Defendant Phone Number * If the defendant does not have a telephone number, please put "n/a."

Defendant Address * If the defendant does not have an address, please put "n/a."

Defendant Email * If the defendant does not have an email address, please put "n/a."

Defendant Date of Birth (MM/DD/YYYY) *

Defendant's Race * The Massachusetts Bail Fund recognizes the criminal justice system is racist. We collect race data about the people we serve to ensure that our impact counteracts these racial disparities rather than contributes to them. Please share the way your client describes their race.

Reference/Ride Information

If your client is NOT held at one of the Suffolk County facilities, the Middleton House of Correction or the Billerica House of Correction, please specify who can give your client a ride from the jail or house of corrections when bail is posted. Please include contact information here. If your client does not have someone who can give them a ride, please note this here and be sure to include WHERE your client needs to be taken once bail is posted. We can, at times, provide transportation, but need notice and time to arrange transportation.

Reference Name *

Reference Relationship *

Reference Phone *

Reference Address *

Case Information

Docket Number *

Charges *

Date of Arraignment (MM/DD/YYYY) *

Date of Next Scheduled Appearance (MM/DD/YYYY) *

Bail Amount *

Is Electronic Monitoring Required (GPS, SCRAM, etc.)?*If EM is a required condition of your clients release, we will post the bail ONLY if: 1.We have confirmation from the person's attorney (or the court) that the person is on the transport list for the day our volunteer can be in court. AND 2. We have confirmation from the person's attorney (or the court or probation department) that there is an EM unit available on that date as well. NOTE: This policy does not apply to people whose cases originate out of Middlesex County AND are held pre-trial at the Billerica House of Corrections. FURTHER NOTE: EM IS NOT A REQUIREMENT OF THE MASSACHUSETTS BAIL FUND. THIS POLICY APPLIES ONLY WHERE THE COURT HAS ALREADY MADE EM A CONDITION OF YOUR CLIENTS RELEASE.

Court Where Charged *

Facility Where Held * Please specify the jail where your client is being held. If your client is held anywhere BUT Nashua Street Jail or South Bay House of Correction, your client will need a ride from the facility before the Bail Fund can post bail. We can generally assist with rides, but it is always preferable for transportation to be provided by someone who knows the person being bailed. Please specify in the additional information field below who will be available to give your client a ride.

Does the defendant have other open cases, if so, how many and where are they? *

Does the defendant have any outstanding warrants? *

Was there a support person present at the defendant's arraignment? *

Will the defendant be released from custody upon the posting of bail? *

Is the defendant in school/vocational/training program? *

Is the defendant employed? *

Is the defendant homeless/precariously housed? *

What does the defendant's history of defaulting/failing to appear look like? Please note, a history of defaults, no matter how many, is not a barrier to our assistance. We are a charge, court history, and circumstance neutral organization.*

Please tell us why your client should receive assistance from the Bail Fund:*