Consultation Request

Request a Consultation

Federal clemency matters only. Share a few details about the applicant and matter. All fields are treated confidentially.

About you

Person completing the form *

Relationship to applicant

Applicant information

Applicant's full name *

Applicant's state of residence *

Matter type (federal only)

Type of request (if known)

Current incarceration status

Facility name (if applicable)

Case details

Approximate conviction date

Approximate sentencing date

Sentence length

Time served

Case number (if known)

Court and jurisdiction

Brief description of the conviction

Brief reason clemency is being requested

Background & supporting materials

Rehabilitation programs completed

Employment or education history

Number of available support letters

Court documents available?

Certificates & program records available?

Contact information

Contact name *

Email address *

Phone number

Preferred contact method

Best time to contact

How did you hear about MercyPath?

Acknowledgements

I understand that MercyPath is not a law firm and does not provide legal advice or legal representation.I understand that submitting this form does not create an attorney-client relationship.I understand that MercyPath does not guarantee or predict the outcome of any clemency request.I confirm that the information provided is accurate to the best of my knowledge.

By submitting this form, you acknowledge the disclosures above.