Petition for Writ of Habeas Corpus
(Parole Violation Detention)
Petitioner (Name):
Inmate / ID Number:
Current Location:
Petitioner's Statement
1. Petitioner is currently detained at:
2. Petitioner is detained as a result of:
(Parole violation allegation, date of detention, and authority responsible)
3. Grounds for relief (state specific facts and legal grounds that show the detention is unlawful):
4. Relief Requested:
Declaration
I declare under penalty of perjury under the laws of the State of _________ that the foregoing is true and correct.
Date:
Signature of Petitioner: