State Habeas Corpus Petition for Wrongful Imprisonment
In the [Court Name]
Case Number
Petitioner (Name)
Petitioner’s Prisoner Number (if applicable)
vs.
Respondent (Warden, Superintendent, or Official)
Facility Name and Address
PETITION FOR WRIT OF HABEAS CORPUS
To the Honorable Court:
1. Petitioner’s Information
2. Grounds for Alleging Wrongful Imprisonment
3. Basis of Jurisdiction
4. Statement of Facts
5. Relief Requested
6. Supporting Documents (list and attach, if any)
Date
Petitioner’s Signature
Petitioner’s Address/Contact Information