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Self Surrender Form

2. Please complete the online form below to submit your information for your self surrendar.
4. Contact Information
6. First Name*
7. Last Name*
9. Locations for Self Surrender
   2550 West Franklin Rd, Norman, OK 73069
11. Contact Us for Details
    Please call our Chief of Operations at 405-701-8819
13. Address*
15. City*
16. State*
17. Zip*
19. Phone Number*
20. Crime or Warrant*

    1. Committed a Crime
    2. Warrant Issued
    3. Other
21. Specify Other
    If you marked Other please explain
23. Please specify any details that you feel would help your self surrender*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field