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Referral Form - Problem-Solving Programs and the Adult Drug Court

  1. Community Corrections Referral Application


    Please include as much information as possible.  

    Applications will be considered for all Community Corrections Diversion Programs.  Community Corrections staff will make a recommendation to the County Attorney's Office for final approval.  

    *Drug Court Judges will make the final decision regarding eligibility for the Drug Court Program.

  2. Applicant Information
  3. Please check the programs you believe are most appropriate for consideration.
  4. Currently Incarcerated
  5. Case/Attorney Information
  6. Leave This Blank:

  7. This field is not part of the form submission.