Ninth Judicial Circuit AEP Application

Prior to submitting your application, you must call or email the AEP office to ensure we have received your referral from the court or prosecutor.
Call: 843-958-1930 or email: divservices@scsolicitor9.org

The AEP program is a privilege. Not everyone is offered this privilege.

Please take advantage of this opportunity to resolve the criminal charges pending against you at this time. Please note AEP is voluntary and your participation in this program is your decision. Failure to disclose pertinent information may result in your case being returned back to court or prosecutor.

Eligibility Check

Have you contacted our office to verify we received your referral from the court or prosecutor?
Yes No

Have you ever applied, been rejected, or participated in any AEP before?
Yes No

Have you ever been arrested or given a criminal citation, before the charge you are being referred to AEP on?
Yes No

APPLICANT INFORMATION

Last Name First Middle JR/III Nickname/Alias Maiden Name

SSN Home Cell Phone

Street/P.O. Box Apt# City Zip

Race Gender

Date of Birth Age Birth State/Country

DL# State

Do you have a CDL license?
Yes No

Are you a US citizen?
Yes No

Are you currently serving in the military, either on active duty or in the reserves?
Yes No

Attorney Information
No Attorney Public Defender Private Attorney

Attorney's Name Phone #

Do you have transportation?
Yes No

Transportation
Car Family/Friend Other If Other Error

E-MAIL COMMUNICATION

Do you have computer access?
Yes No

Do you have internet access?
Yes No

BY PROVIDING MY EMAIL BELOW, I AUTHORIZE AND CONSENT TO COMMUNICATE BY EMAIL. IN AUTHORIZING EMAIL COMMUNICATION, I UNDERSTAND IT IS MY RESPONSIBILITY TO NOTIFY AEP STAFF OF ANY CHANGES TO MY EMAIL ADDRESS. I ACCEPT THE LIABILITY AND RISKS ASSOCIATED WITH THE USE OF EMAIL. I ALSO UNDERSTAND AEP CANNOT ACCEPT RESPONSIBILITY FOR ANY EMAIL MESSAGES NOT RECEIVED BY OR FROM YOU, OR FOR ANY DELAY IN THE RECEIPT OR DELIVERY OF ANY EMAIL NOTIFICATIONS. AEP IS NOT RESPONSIBLE FOR LOSS OF MESSAGES AND OTHER CONSEQUENCES FROM THE USE OF ELECTRONIC COMMUNICATION.

Your personal Email Address

SCHOOL/ EMPLOYMENT

SCHOOL INFORMATION

Name Last Grade Completed

EMPLOYMENT INFORMATION

Name Title/Position

AEP CHARGE INFORMATION

THIS INFORMATION IS NOT AN ADMISSION OF GUILT NOR IS IT ADMISSIBLE IN COURT FOR PROSECUTION OF THE CHARGE(S) PENDING AGAINST YOU.

PROVIDE THE TICKET #(S) AND CHARGE INFORMATION FOR THE CHARGE(S) YOU ARE APPLYING TO AEP ON:

Ticket Number	Charge	Police Department
Ticket Number	Charge	Police Department

CRIMINAL HISTORY INFORMATION

FALSE INFORMATION IN THIS SECTION WILL RESULT IN REJECTION OF YOUR APPLICATION OR TERMINATION FROM THE PROGRAM. THE APPLICATION FEE IS NON-REFUNDABLE.

LIST ALL PRIOR CHARGES AND/OR ARRESTS IN ANY STATE AND THE DISPOSITION OF THE CHARGE.