Client Intake Form

Client Full Name

MDOC / DOC #

Facility

Sentence Length

Years Served

Family / Authorized Representative (if applicable):

Name

Relationship

Phone / Email

SERVICES REQUESTED (CHECK ALL THAT APPLY)

Multi choice

Organization of certificates and program records

Typing of personal parole statement (client-provided content only)

Assembly of parole packet materials

Formatting of letters of support (content provided by others)

Timeline summary of incarceration history (non-legal)

Clerical corrections (grammar, spelling, layout)

CLIENT ACKNOWLEDGMENT & AGREEMENT

By signing below, I acknowledge and agree to the following:

I understand that Parole Preparation LLC is not a law firm and does not provide legal advice or legal representation.

I understand Services are clerical only no legal advice

I understand No parole guarantees

I understand Parole decisions are made by the Parole Board

I understand I am responsible for accurate information

I understand I may consult an attorney if needed

Client Signature