DISTRICT COURT OF MARYLAND FOR
Located at
Court Address
City/County
Case No.
vs.
Defendant
STATE OF MARYLAND
PETITION FOR DETERMINATION OF ELIGIBILITY FOR COUNSEL
(Rule 4-202) and (Article 27A ยง 6(f)) I am a defendant in the above captioned criminal case: On at and requested the appointment of counsel, which request was denied for the following reasons: ,
Year
, I reported to the office of the Public Defender
My scheduled trial date on the charges of
is
Date
.
I do not agree with the initial determination of the Public Defender for the following reasons:
I am enclosing a fully completed copy of Petition for Waiver of Costs (CC-DC 8) setting forth my assets and liabilities.
Name Address
Telephone
DC/CR 33 (Rev. 6/2003)