IPP Intake Form

Please complete the form below and submit it directly to the Incarcerated Parent’s Project. You are also welcome to email D’Adre Cunningham (dadre@defensenet.org) or call her at (206) 623-4321.

Incarcerated Parents Project Intake Form

Your Name*
First Last
Your Email*
Name of incarcerated person
First Last
if applicable
Incarcerated person is located at:

Facility name, e.g. Washington Corrections Center for Women, King County Jail, Monroe, etc.
County*
Select the county in which the legal question arose
Are you a WDA member?*
- Yes
- No
Membership is not required for assistance. If your agency is an organizational member, you are a member.
Today's Date*
MM slash DD slash YYYY
Need Response By Date*
MM slash DD slash YYYY
What kind of help do you need?*
Comments
This field is for validation purposes and should be left unchanged.

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Incarcerated Parents Project Intake Form

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