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Trial & Major Felony Unit
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Join the Fight
Contact Us
Apply for a Public Defender
Domestics
Application Form
Apply for a Public Defender
Complete and submit the form below to apply for a public defender. Applications are reviewed before determination is made, so please be aware of your application status. You can call our office at 610-891-4100 for an update on your application or visit us at 220 N Jackson St., Media, PA 19063 Mondays - Fridays between the hours of 8:30 AM and 4:30 PM.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Name as it Appears on Court Documents
Leave this blank if it is the same as the name provided.
Self Identification
*
Male
Female
Non-Binary
Transgender
Other
Other
*
Please self identify in the text field above.
Interpreter Required
*
Yes
No
Language Spoken
*
Please enter the language you'll need interpretation assistance for.
Date of Birth
*
Mailing Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Email
*
Email
Confirm Email
Court Information
All fields below are optional, however providing the information from your court documents will make reviewing your application both faster and easier.
Is your case PFA or child support contempt related?
*
Yes
No
OTN
The OTN number can be located on your docket sheets as well as complaint and affidavit.
Court Date Scheduled
*
Yes
No
Upcoming Court Date
*
Date
Time
Court Location
--- Select Choice ---
Chester - Judge Davis (32-1-20)
Chester - Judge Vann (32-1-21)
Chester - Judge Garner (32-1-22)
Collingdale - Judge Grimes (32-1-23)
Marple & Newtown - Judge Lang (32-1-27)
Media & Swarthmore - Judge Gallard (32-1-28)
Eddystone & Rutledge - Judge Dawson (32-1-30)
Springfield - Judge Culp (32-1-32)
Upper Darby & Millbourne - Judge Karapalides (32-1-33)
Upper Darby - Judge Johns (32-1-34)
Chichester - Judge Griffin (32-1-36)
Sharon Hill - Judge Forbes (32-2-37)
Aston Township - Judge Holefelder (32-2-38)
Brookhaven - Judge Stone (32-2-39)
Aldan, Folcroft & Darby - Judge Sandone (32-2-40)
Collingdale - Judge Burns (32-2-42)
Radnor - Judge Walker (32-2-43)
Prospect, Ridley & Tinicum - Judge Hopper (32-2-44)
Upper Providence - Judge Goldberg (32-2-46)
Lansdowne & Yeadon - Judge Williams (32-2-47)
Edgmont & Middletown - Judge Strohl, Judge DiPillo (32-2-48)
Bethel, Chadds Ford, Concord & Thornbury - Judge Roberts (32-2-49)
East Lansdowne - Judge Mattox (32-2-51)
Clifton Heights - Judge Micozzie-Aguirre, Judge Coleman (32-2-52)
Haverford - Judge Duerr (32-2-53)
Springfield - Judge Merkins (32-2-54)
Please select the court location your case is scheduled for. Your court location and judge are listed on the summons you've received. Please note: there may be some variation in judge, but not location.
Docket Format
MJ
CP
Please select the correct case docket format for your case and enter the docket number in the fields below. You can find your docket number on any of your court paperwork.
As you begin entering the docket number, you'll see a preview of your docket to verify your case's docket number.
Auto-Generated Preview
District Court Number
Please enter your case's magisterial district court number.
Case Number
Please enter your case's magisterial case number.
Case Year
Please enter your case's year.
Case Number
Please enter your case's common pleas case number.
Case Year
Please enter your case's year.
Financial Information
Financial information is required to help qualify you for representation with the Public Defender's Office.
Currently Employed
*
Yes
No
Where do you work?
*
Household Income
*
Rate of Payment
*
Yearly
Hourly
Number of Dependents
Please include yourself when determining the number of dependents in your household.
Other Assets/Income (ex. Social Security, Disability, etc.)
List any other assets you own or income you receive, separated by comma.
Affidavit
Please read and respond carefully to the questions below.
I understand the Public Defender provides free legal assistance to people who cannot afford an attorney with criminal charges against them in Delaware County
*
Yes
No
I affirm that I cannot afford to hire an attorney to represent me in my criminal case
*
Yes
No
Confirmation Signature
*
Please print your full name. It will be considered as your signature.
Submit Application