1. Contact & Custody Information
Full name (as on conviction)
Aliases / prior names
Date of birth
TDCJ #
Current TDCJ unit
Primary contact person (family/friend/advocate)
2. Case Information (Required)
County of conviction:
Case number(s):
Charge(s) of conviction:
Date of arrest:
Trial/plea date:
Sentence imposed:
if no: release date:
If yes, explain circumstances (e.g., Alford plea, counsel advice, coercion):
If yes, name/contact:
Next deadline(s) (appeal/parole/other)
3. Your Innocence Claim If you do not have an innocence claim, go to question 5.
In your own words, what did the State say happened, and what actually happened?
Why were you identified as a suspect? (e.g., misidentification, association, false statement, informant)
4. Evidence That Can Prove Innocence Check all that may apply and explain briefly. Attach any proof you have.
Alibi (where you were; witnesses; records like timecards, phone, GPS)
Eyewitness issues (misidentification, suggestive lineup, cross-race ID, poor lighting)
Forensics/DNA (untested or new testing methods available):
Digital evidence (cell site, geolocation, device logs, CCTV, vehicle data, smart home):
New evidence (recantations, new witnesses, alternative suspect, confessions by others):
Scientific change (method now discredited; lab error; invalid expert testimony):
Official records (dispatch logs, body-cam, CAD, medical records) supporting innocence:
Brady/Napue (withheld evidence; false testimony the State failed to correct):
Coerced confession (length, conditions, threats, age, mental health, intoxication):
Other innocence evidence:
5. Trial & Post-Conviction History
If trial:
Parole status (if applicable):
6. State’s Evidence at Trial (What convicted you?)
7. Defense Representation
Trial attorney(s):
Appellate/post-conviction attorney(s):
Key issues you raised or wanted raised (ineffective assistance, conflicts, investigation failures):
8. Misconduct Indicators (If applicable)
Police
Prosecutor
Forensic lab/medical examiner issues
Judicial conflict or irregularities:
Racial bias or juror misconduct:
9. About You (Mitigation/Context)
Age at time of offense:
Education / military / employment history:
Medical or mental-health conditions (optional):
Substance use history (optional):
Disciplinary record in custody / programming completed:
Family/support network:
10. Consent & Declarations (Required to review your case)
Signature (type your name)
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