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2. ATTORNEYS: If you are able to take this case, please email the County Administrative Office.

   Please forward this request to:

   HCAAP@co.humboldt.ca.us

   Please include in the email a message stating that you can accept the case.

6. HCAAP Attorney Request Form
   The Humboldt County Superior Court, Humboldt County Public Defender and/or Conflict Counsel may request a private defense attorney to represent a defendant. Requests will be received by the County Administrative Office, who will process the request. This form includes certain information that must be included with the request to secure a private defense attorney through the Humboldt County Court Appointed Attorney Program (HCAAP). Please note: Each defendant will need a separate request form to be filled out and submitted.
8. REQUESTER INFORMATION
10. Requester Full Name*
11. Requester Phone Number*
13. Requester email address*
15. CASE INFORMATION
17. Docket Number*
18. Type of Case*

    1. Adult
    2. Juvenile
20. Defendant Last Name*
21. Defendant First Name*
23. Charges*
25. Level of Attorney Requested*

    1. Class 1
    2. Class 2
    3. Class 3
    4. Class 4
    5. Not Sure
26. Attorney Classes
    Class 1 - Cases where a defendant is charged with felonies listed in paragraphs (1), (2), (7), and (16) of subd. (c) of Penal Code section 667.5.
    Class 2 - Felonies as defined in Penal Code section 667.5 NOT listed in Class 1; AND all other felonies carrying a maximum exposure of 10 years or more; OR a combination of felonies, AND/OR a combination of felonies and special allegations carrying a maximum exposure of 10 years or more. Sexually violent predator cases are included in Class 2.
    Class 3 - All felonies not described by Classes 1 and 2, and any misdemeanor that requires registration as a sex offender. Misdemeanor appeals are included in Class 3.
    Class 4 - All misdemeanors not described by Class 3 and misdemeanor appeals.
28. Where can the appointed attorney pick up discovery?*
30. Is the Defendant In Custody or Out of Custody? *
    -- Select One --Defendant is IN CustodyDefendant is OUT OF Custody
31. Who is Representing Co-Defendant(s)*
    -- Select One --Public DefenderConflict CounselPrivate AttorneyNo Co-Defendants
33. Arraignment Date and Time*
34. Courtroom to Appear In
36. Other cases in which the defendant has been involved
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field