If you do not receive a response to your request within
14 days please contact our office at (979) 361-4300.

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I have been (check one) appointed retained to represent the below named defendant in a criminal case filed in Brazos County.

   
*Attorney Name:
*Attorney Email:
   
*Defendant Name (Last, First, Middle):
*Defendant Date of Birth (mm/dd/yyyy):
   
*Cause Number: