Contact Constituent Services
This form was developed in response to Section 14-1-1.7 of the Code of Alabama (1975) and is intended for use by family members, advocates, or other constituents
to submit a concern or inquiry on behalf of or concerning an incarcerated individual in the custody of the Alabama Department of Corrections. All fields are required to
complete the submission.
Please note, requests for information sharing are allowed only when consent has been given by the subject of the inquiry or concern.
Submitter's Email Address *
Submitter's Phone Number *
Submitter's Relationship to Offender *
Please indicate your relationship to the offender.
If Relationship is "Other", please describe below.
Are you the offender's emergency contact? *
Please indicate whether you are an emergency contact or not.
Adult or Juvenile Offender *
Please indicate whether an adult or juvenile.
Offender's Current Facility *
Please select the inmate's current facility.
Please select your concern.
Please give details regarding your concern. *
Please enter the details of your concern.
Have you reported this concern before?
Please indicate whether this concern has already been reported.
If yes, please state who reported the concern and date reported.
How did you learn of this information? *
Was the concern resolved?
Please indicate whether this concern was resolved.
Enter the text in the image above