SF PEER COURT ONLINE CASE REFERRAL FORM

Contact Information

Person Making Referral:

You are a
Other Title
School or Organizaiton
Your name
Telephone Number
E-mail address

Youth Referred as Respondent (Offender):
 
Full Name
Contact Phone Number
Date of Birth
School Name
Home Address 
City
State Zipcode

Police Report or Incident Report

If there is a POLICE REPORT associated with this incident, we will use a REDACTED OR REWRITTEN version of it as the official transcript for the hearing. If there is no police report associated with this incident, please forward a detailed written INCIDENT REPORT to our staff, either by Fax, Email, or copy it into the box below:

Copy and Paste INCIDENT REPORT here, or forward Police Report by fax, direct mail, or PDF email:

Nicole Brown
California Community Dispute Services
149 Natoma St,Third Floor
San Francisco, CA 94105
Nicole@peercourt.org
Phone (415) 865-2524
Fax (415) 865-2538

Thank you for the referral. Someone from our staff will contact you shortly, or feel free to call whenever you like.
Please also contact Nicole if you have any problems making your online referral, or questions about confidentiality, process or anything else.

Please be patient as your form loads (it may take a few moments). You will be shown a confirmation once it has been sent.