Defendant

1. DEFENDANT NAME

Your Name(Required)

First Name Last Name

Home Phone #

Cell Phone #(Required)

Work Phone #(Required)

Email(Required)

Your Address(Required)

Current Home Address Apartment # City State ZIP Code

How Long?(Required)

Rent or Own?(Required)

Rent

Own

Landlord(Required)

Your Address(Required)

Former Home Address Apartment # City State ZIP Code

How Long?(Required)

Rent or Own?(Required)

Rent

Own

Landlord(Required)

2. PERSONAL DESCRIPTION

Date of Birth(Required)

Where Born(Required)

Sex(Required)

Race(Required)

Social Security #(Required)

Driving License #(Required)

Issue State(Required)

Height(Required)

Weight(Required)

Eye Color(Required)

Hair Color(Required)

Scars, Marks, Tattoos(Required)

Complexion(Required)

How Long in US?(Required)

US Citizen?(Required)

Yes

Nationality(Required)

Alien#(Required)

Any Medical Conditions/Disabilities(Required)

Union?(Required)

Local#(Required)

Military Service: Branch(Required)

Active?(Required)

Discharge Date(Required)

3. EMPLOYMENT

Name(Required)

How Long?(Required)

Position(Required)

Supervisor's Name

Phone #(Required)

4. MARITAL STATUS

Marital Status(Required)

Spouse/Girl/Boyfriend's Name(Required)

How Long Married/Together?(Required)

Address (if different)(Required)

Email(Required)

Home Phone #(Required)

Cell Phone #(Required)

Social Security #(Required)

Occupation(Required)

Employer(Required)

How Long?(Required)

Supervisor's Name(Required)

Work #(Required)

5. VEHICLE

Describe Auto: Year(Required)

Make(Required)

Model(Required)

Plate #(Required)

State(Required)

Where Financed?(Required)

Amount Owned $(Required)

Insurance Agent's Name(Required)

Insurance Agent's Phone #(Required)

6. ARREST INFORMATION

Date of arrest(Required)

Booking Name (if different)(Required)

Arresting Agency(Required)

Jail Location(Required)

Booking #(Required)

Charges #(Required)

Previous Arrests(Required)

Charges(Required)

Date(Required)

Where(Required)

Pending Charges in Other Counties(Required)

Are you on parole/probation?(Required)

Yes

parole/probation officer name and phone #(Required)

Are you now under any bond?(Required)

Yes

Have you ever failed to appear in court?(Required)

Yes

Bonded before by(Required)

When?

County - Jail Information

In which county was the individual arrested?

What County?(Required)

What Jail?(Required)

7. ATTORNEY

Name and firm(Required)

Phone #(Required)

Is your attorney court appointed?(Required)

Yes

Email(Required)

Amount of retainer paid $(Required)

8. RELITIVES AND FRIENDS

In order to get approved we need minimum 3 required

Family Member Name(Required)

Home Phone #(Required)

Email(Required)

Cell Phone #(Required)

Work Phone #

Employer(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Family Member Name(Required)

Home Phone #(Required)

Email(Required)

Cell Phone #(Required)

Work Phone #(Required)

Employer(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Other relative/Friend's Name(Required)

Relation(Required)

Email(Required)

Home Phone #(Required)

Cell Phone #(Required)

Work Phone #(Required)

Employer(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Other relative/Friend's Name(Required)

Relation(Required)

Email(Required)

Home Phone #(Required)

Cell Phone #(Required)

Work Phone #(Required)

Employer(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Other relative/Friend's Name(Required)

Relation(Required)

Home Phone #

Cell Phone #(Required)

Work Phone #(Required)

Employer(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Authorization To Release Information

I hereby authorize any of Bring 'Em Home Bail Bonds, agents or employees, bearing this release, or copy thereof, within eight years of it's date, to obtain any information in the files of the Department of Human Services, the Social Security Administration, SSI, Postal Service Records, Telephone records, Telephone Records from local and long distance carriers, employment records including, but not limited to academic achievement, attendance, athletic, personal history, medical records, credit history, rental office, pawn shop and other records normally covered by the Freedom of Information Act. I hereby direct you to release information upon request of the barrier of this sheet. This release is executed with full knowledge and understanding if for the official use of Bring 'Em Home Bail Bonds. Consent is granted for _________________. To furnish such information as is directed to third parties to the course of fulling it's official responsibilities.

I hereby release you, as custodian of such records, and any local school, college, university, medical and other repository medical records, credit bureau, lending agencies, consumer reporting agencies, retail establishments, including it's officers, employees, orrelated personnel, both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information or any attempt to comply with it.

I waive any and all rights to privacy granted by but not limited to, the 1989 Right To Privacy Act, the Fair Credit Reporting Act, or any and all legislation be it federal, state or local.

As a Client of Bring 'Em Home Bail Bonds you agree to observe the following rules

1. Failure to Appear (FTA)
In the event the Defendant fails to appear before any court as required ("Failure to Appear" or "FTA"), the Defendant and any Indemnitor(s), jointly and severally, shall be deemed in material breach of this Agreement and shall be fully liable to the Surety for any and all losses, damages, costs, and expenses incurred as a result thereof, including but not limited to:
(a) all court costs and forfeiture amounts;
(b) reasonable attorney's fees; and
(c) investigation, location, recovery, apprehension, and enforcement fees.

2. You must call, come in or use check in app: Every Wednesday is mandatory check in day. If you choose to call or come in live to check in you must do so between the hours of 8 AM -5 PM This Weekly mandatory check in is required of you until ALL of your cases have been completely finished in court. If you choose to check in via check in app on your phone you have from midnight Wednesday morning until 11:45pm Wednesday evening. NO late check ins will be accepted.

3. All Class" C" Ticket: You are required to call the municipal court where the ticket(s) was/were issued within 10days of bonding out. Bring 'Em Home Bail Bonds is not responsible for calling municipal courts to get court dates.

4. Report Changes: You must notify Bring 'Em Home Bail Bonds of ANY and All changes in address, telephone number, employment or change of attorney.

5. Travel: You must notify Bring 'Em Home Bail Bonds of any out of state travel. Failure to notify us will result in automatic termination of the bond and a warrant will be issued for your arrest.

6. Violation of Any Law: While on bond you agree to commit no offense of the state, of any state or the United States. If you are incarcerated while on bond with Bring 'Em Home Bail Bonds at any time, you MUST call us as soon as possible or we will terminate your bond.

7. Disposition of Your Case: A copy of your court disposition of dismissal or case completion must be submitted to Bring 'Em Home Bail Bonds staff immediately following disposition.

8. Failure to Pay Bond Premium.
The Defendant and any Indemnitor(s) acknowledge and agree that the full ten percent (10%) bond premium is fully earned upon execution of the bond and is non-refundable, regardless of dismissal, acquittal, reduction, or disposition of the underlying criminal case.
In the event the Defendant fails to pay the full bond premium as agreed, the Defendant and any Indemnitor(s), jointly and severally, shall be deemed in material breach of this Agreement and shall remain fully liable for all costs and expenses incurred by the Surety, including but not limited to:
(a) court costs;
(b) reasonable attorney's fees; and
(c) investigation, collection, and enforcement fees.

Print Full Name(Required)

Date(Required)

Social Security Number(Required)

DOB(Required)

Signature(Required)

Upload your driving license here(Required)

Drop files here or

Max. file size: 10 MB, Max. files: 1.

Bring 'em Home 24/7 Payment Agreement

By Signing this agreement you agree that you have accepted a payment with Bring 'em Home 24/7 Bail Bonds to payoff your 10% balance including posting fee.

Email(Required)

Enter Email Confirm Email

Defendant Name(Required)

First Last

Co-signer Name(Required)

First Last

Total Bond Amount(Required)

Amount Paid to Post Bail?(Required)

Do you Agree to the conditions of this payment plan agreement with Bring 'em Home 24/7 Bail Bonds(Required)

I agree

I disagree and will pay the full 10% including posting fee before making bail

Your Signature(Required)

Add your signature here

hCaptcha

"Because Jail Sucks"

1. DEFENDANT NAME

2. PERSONAL DESCRIPTION

3. EMPLOYMENT

4. MARITAL STATUS

5. VEHICLE

6. ARREST INFORMATION

County - Jail Information

7. ATTORNEY

8. RELITIVES AND FRIENDS

Authorization To Release Information

As a Client of Bring 'Em Home Bail Bonds you agree to observe the following rules

Bring 'em Home 24/7 Payment Agreement

Quick Links

Contact