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 *
If "Other", please state below.
Are you the offender's emergency contact? *
Adult or Juvenile Offender *
Offender's Current Facility *
Please give details regarding your concern. *
Have you reported this concern before?
If yes, please state who reported the concern and date reported.
How did you learn of this information? *
Was the concern resolved?
Enter the text in the image above