Class Member Registration Form

Please fill out this form to the best of your ability and click submit when you are done. The information you submit will only be used to contact you regarding the Roy v. County of Los Angeles class action lawsuit.

Name and Date of Birth

Please provide the name you provided the jail:

Additional Names   (Please provide any additional names you use)

Arrest and Detention by LASD

Current Address & Contact Information

(please provide a reliable e-mail address which you check on a regular basis)