Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Clean Slate / Prop 47 Contact Form

  1. Contra Costa County Public Defender Proposition 47 Contact Form

  2. Are you a U.S. Citizen*

  3. Are you employed?*

  4. Job, SSI, AFDC, other?

  5. If Known

  6. Custody Status*

  7. Leave This Blank:

  8. This field is not part of the form submission.