City of Houston - Veteran's Court
The City of Houston Municipal Court has partnered with Beacon Law, a program of The Beacon, and Combined Arms to create a Veteran's Court program to assist veterans resolve their outstanding City of Houston Municipal Court citations.
If you are a veteran of the United States Armed Forces and believe you have any Class C outstanding citations (meaning the citations are in warrant status) within City of Houston, please complete the following application for eligibility screening to participate in the City of Houston Veteran's Court.
IMPORTANT:
Participating in the City of Houston Veteran's Court program means you must be willing to plead Guilty or No Contest to your Class C citations. The purpose of City of Houston Veteran's Court is to help clear fines, fees, and warrants associated with your Class C citations without fear of arrest, but it may also lead to a conviction on your driving record and possible consequences to your driver's license eligibility, depending on the type of charge.
Back
Next
City of Houston Veteran's Court Screening Application
Please fill in the form below
Name
*
First Name
Middle Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number:
*
-
Area Code
Phone Number
E-mail
*
Preferred Method of Contact:
Email
Phone
Mail
Date of Birth
*
/
Month
/
Day
Year
Date
Social Security Number (Last 4)
*
Driver's License/ID Number
Driver's License/ID State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Military Status
*
Active Duty/Reserves/Retired
Discharged Veteran
Branch of Service
*
Air Force
Army
Coast Guard
Marines
Navy
Gender
*
Male
Female
Other
Unknown
Race
*
Black or African American alone, non-Hispanic
White alone, non-Hispanic
Hispanic
Asian alone
American Indian and Alaska Native alone
Native Hawaiian and Other Pacific Islander alone
Multiracial
Other Race alone
Back
Next
Dependents
Do you have any people living with you that depend on you for financial support?
*
Yes
No
Household Size (including yourself)
*
Back
Next
List the name, age and relationship to you for each person living with you that you support.
Back
Next
Monthly Household Income
Please enter total income for all contributing members of your household. A household consists of the people living with you who depend on you for financial support or are supporting you.
Employment Status
*
Part Time Employed
Full Time Employed
Unemployed
Disabled
Full Time Student
Work Wages
*
Total per month
Unemployment
*
Total per month
Food Stamps/SNAP
*
Total per month
Public Housing Assistance
*
Total per month
Child/Spousal Support
*
Total per month - Do not enter support you pay
SSI/SSDI/VA Disability
*
Total per month
Retirement/Pension
*
Total per month
Total Monthly Income
Back
Next
Do you own a house?
*
Yes, with a mortgage
Yes, without a mortgage (fully paid off and in your name)
No
Back
Next
Assets
What is the current value of your house?
*
Back
Next
Assets
Do you own any vehicles, in your name? (If both a paid off vehicle and making payments applies to you, choose the "my car is paid off" option)
*
Yes, with a car payment
Yes, my car is paid off
No
Back
Next
Answer the following for ONLY vehicles that are fully paid for AND in your name.
Vehicle 1 - Year/Make/Model
*
Vehicle 1 - Current Value
*
Vehicle 2 - Year/Make/Model
Vehicle 2 - Current Value
Vehicle 3 - Year/Make/Model
Vehicle 3 - Current Value
Back
Next
Assets
Do you have any checking or savings accounts?
*
Yes
No
Back
Next
What is the current balance of your checking and/or savings accounts?
*
Back
Next
Monthly Expenses
Mortgage/Rent
*
Utilities
*
Gas/Water/Electricity/Phone/Cable/Internet
Food
*
Total including SNAP benefits plus out of pocket food costs
Child Care
*
Car Payment/ Insurance
*
Gas/Bus Fare/Tolls
*
Attorney's Fees
*
Health/Life Insurance Premiums
*
Medical Expenses
*
co-pays, prescriptions, etc.
Clothing/Laundry
*
Other Misc. Personal Expenses
*
Back
Next
Acknowledgement
Your application will be screened for eligibility for participation in the City of Houston Veteran's Court. You will be contacted with the results of your screening and given instructions for next steps if you qualify for the program. By submitting this application, you certify that you are the named applicant and all the information contained is true and correct to the best of your knowledge. The information submitted in this application is confidential and will not be released without your written consent. You are also acknowledging that you understand the Veteran's Court program may require you to plead Guilty or No Contest to your charge(s), and it may result in a conviction on your driving record and possible consequences to your driver's license eligibility depending, on the type of charge. At this time there is no Attorney/Client Relationship. We will maintain a digital copy of this application for statistical and conflict check purposes.
Signature
Submit
Should be Empty: