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Public Defender Division
Youth Advocacy Division
Mental Health Litigation Division
Children and Family Law Division
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Specialized Programs
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File a Complaint
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4/8/2026
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Breathalyzer Case Inquiry Form
Breathalyzer Case Inquiry Form
Defendant Name
(Required)
First
Last
Date of Birth
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Contact person (if you are not defendant)
Defendant Phone Number
(Required)
Defendant Email Address
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Address Line 2
City
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ZIP / Postal Code
Docket Number
Court where case was resolved
Are you on probation?
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Plea or Trial attorney name
Client comments or concerns
How many people live in your household?
Do you receive Transitional Aid to families with Dependent Children(TAFDC)?
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Do you receive Massachusetts Veterans Benefits Programs?
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Do you receive Medicaid (MassHealth), Supplemental Security Income(SSI)?
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Are you currently employed full-time?
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Were you represented by court-appointed counsel within the last three years (in your OUI or any other matter)?
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Drug Lab Case Inquiry Form
Defendant Name
(Required)
First
Last
Date of Birth
MM slash DD slash YYYY
Contact person (if you are not defendant)
Defendant Phone Number
(Required)
Defendant Email Address
Defendant Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Docket Number
Court where case was resolved
Are you on probation?
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Client comments or concerns
GPS Monitoring Inquiry Form
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Last
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Criminal Case Number
Court in Which Your Case Was Decided
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What is Your Present Source of Income?
MH Hospital Admission Contact Form
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