Create an Account

Request for an Account

Please fill out the following information and we will process your request in a timely manner. We need to verify all the information you are providing to us before we can create an account for you.

First Name

Last Name

Street Address

Street Address 2

City

State

Zip

Primary E-mail

Contact Phone

Fax (Optional)

Cell (Optional)

What is the nature of your practice?

Capital Defender Office
Public Defender
Private Counsel
Other

If other, please specify:

Years in practice

In Florida

Overall

Please specify the name and county of indictment of capital client(s) currently representing.

Have you worked with FCRC previously?

If yes, please indicate name of client(s)

Florida Capital Resource Center

Request for an Account