Lee County Treatment Courts Referral Form

Please review eligibility criteria prior to submission and complete all required information thoroughly to avoid any delays in processing. For referral questions please contact LeeTreatmentCourts@ca.cjis20.org

* Required

Referral Source Information

Defendant Information

If the defendant does not have a Social Security Number or you do not know it please enter xxxx

This section is used for tracking and reporting purposes only


Please ensure you have entered valid case numbers to avoid delays in processing

This includes any County, State, or Federal charges. If yes, please specify jurisdiction and case number.
Treatment Information

Please note that your referral will be screened according to this criteria and any supporting records or documentation should be submitted to LeeTreatmentCourts@ca.cjis20.org