The Office of
Defense Services

Request for Representation

Completing this form does not automatically qualify you for representation. An intake worker from ODS will contact you to complete the ODS interview process to determine if you qualify for representation based on the nature of the charges and your financial status.

Name (required)

Date of Birth (required)

Address (required)

Address 2

City (required)

State (required)

Zip Code (required)

County where arrested (required)

Phone Number (required)

Preffered Method of Contact

Case/or DUC (Delaware Uniform Case) Number

Delaware's Government