All New Mexico Courts will be closed Monday, October 13th.

Bernalillo County Metropolitan Court

Outreach Court

Presiding Judge Asra I. Elliott

Outreach Court Referral Form

Referral Source Information

Participant Information

Name
Name
First
Last
Is this number text capable?
Is the participant unhoused or precariously housed?*
*The American Bar Association definition of an unhoused or precariously housed person: individuals who lack a fixed, regular, and adequate night time residence, including those who, due to loss of housing, economic hardship, or similar reasons, are sharing the housing of others or living in motels, hotels or camping grounds.
Is the participant working with any other community providers?
Does the participant require an interpreter?

Services intended to provide to participant:

Select all that apply
If “Other,” please indicate the service(s).