Parole Packet Intake Form

Who is completing this form?

Your Full Name

Your Email

Your Phone Number

Relationship to the inmate

Inmate Full Name

TDCJ Number

Unit/Facility

Primary offense category

Sentence length

Years already served (approximate)

Is this the first parole review?

If no, how many prior denials or set-offs?

Next parole review year (if known)

Any disciplinary cases in the last 3–5 years?

Has the inmate completed programs or classes?

Current work assignment (if any)

Check any that apply(required)

Is there a place to live if released?(required)

Yes No Not sure

Is there potential employment or income support?(required)

Yes No Not Sure

Is there family or community support available?(required)

Yes No Not Sure

In 2–3 sentences, briefly describe what led to the incarceration.
(Do not explain, justify, or defend. Just state the situation at a high level.)

What are you hoping we can help with?(required)

I understand Parole Packet Solutions provides administrative document preparation only and does not provide legal advice or parole representation.

What happens next:
After submitting this form, we will review your information and contact you regarding next steps.

Please note: payment is collected only after intake review and service confirmation.