Online Application - www.betterbailbonds.net

Thank you for choosing us to help you in your time of need. Please complete the form below. To make this transaction as easy as possible we have divided our application into different pages. The yellow steps are ones that are to come, the red is the current page and the green ones are completed.

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Items in red with an asterisk "*" are required items

Arrest Information Arresting Agency: Date Arrested: Time: Defendant have a prior arrest? Yes No

Jail Information Booking #: County Jail Name: City Jail Name:

Arrestee Information First Name:* Last Name:* MI:
D.O.B.* / / SSN:*
Address:    Apt.:    City:    State:    Zip:
Name of Apartment Complex / Landlord:    Own     Rent
Home Phone:    Cell Phone:
Email:
Employed by:    Occupation:   How Long:
Employer Address:    City:   State:   Zip:

Contact / Indemnitor Information First Name:* Last Name:* MI:
D.O.B.* / / SSN:*
Address:    Apt.:    City:    State:    Zip:
Home Phone:    Cell Phone:*    Work Phone:
Email:
Employed by:    Occupation:   How Long:
Employer Address:    City:   State:   Zip: