Application For Assignment Of Legal Counsel

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DEAR APPLICANT,
It is the responsibility of the Public Defender’s Office to provide free representation for an indigent
person changed with a criminal matter in Northumberland County.
Please be advised, that an applicant must meet eligibility guidelines to be represented by a public
defender. Therefore it is imperative that copies of all requested documentation be attached to the
application when applying for public defender service.
1. Completed application
2. Copies of written income verification for yourself including (spouse):
a. Last four (4) pay stubs; and/or
b. Unemployment statement showing amount of benefit received; and/or
c. Written proof of public assistance, social security, disability, retirement, pensions, or
any other income you may have; and/or
d. Written verification of child support paid and/or received.
*Income verification is not required if you are in prison, however you must provide this income
verification when you are released from prison or you risk this offices withdrawal from your case.*
3. Copies of the criminal complaint and preliminary hearing notice or revocation petition.
4. Your application must be received by this office at least four (4) days prior to a scheduled
hearing, if services are to be provided at such hearing.
5. A determination of your eligibility for representation will be made within two (2) working days
of receipt of such application. If you are determined eligible, you will receive a notification letter
by mail as to the legal counsel representing you and a list of your responsibilities as a client
through our office.
6. Please do not provide false information on your application.
7. Your application must be signed, dated, and completed properly; otherwise it will be returned to
you.
Northumberland County
Office of Public Defenders
nd
322 N. 2
Street
rd
3
Floor
Sunbury, PA 17801
Phone: (570) 495-2347
Fax: (570) 988-5443

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