Bail Bondsman - Additional License Category Application Form
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1
2COMMONWEALTH OF VIRGINIA
Status Hotline
Department of Criminal Justice Services
(804) 786-1132
P.O. Box 1300 • Richmond, VA 23218
1-877-9STATUS
Phone: (804) 786-4700 • Fax: (804) 786-6344
Bail Bondsman – ADDITIONAL LICENSE CATEGORY APPLICATION
IMPORTANT INFORMATION
If you are applying to add PROPERTY BAIL BONDSMAN to your current license please review the
Collateral
Requirements
and attach the items below and all required supporting documentation with this application.
-
Bail Bondsman Property Collateral Verification Form
-
Bail Bondman Title Certificate Report
for each real estate property being submitted for collateral
-
Deed of Trust
for each real estate property being submitted for collateral
-
Control Agreement
for each financial account being submitted for collateral.
If you are applying to add AGENT BAIL BONDSMAN to your current license you must attach the following:
- A Special Power of Attorney-Appointing Agent from your sponsoring Property Bail Bondsmen.
If you are applying to add SURETY BAIL BONDSMAN to your current license you must attach the following:
- Proof of Property & Casualty Agent license issued by the Virginia State Corporation Commission, Bureau of
Insurance.
- Copies of each Qualifying Power of Attorney that will be used for bonding purposes.
Bail Bondsman Category and Fee
Property Bail Bondsman
Agent Bail Bondsman
Surety Bail Bondsman
$250.00
$100.00
$100.00
Applicant Information
DCJS ID:
Last Name:
First Name:
MI:
99-
City, State, Zip:
Check if New Address
Mailing Address:
Email Address:
(
)
(
)
(
)
Home Phone:
Business Phone:
Fax:
Employment Information
NOTE: The business name and physical address provided will be posted on the
DCJS Bail Bondsmen Directory
website
pursuant to Virginia Code §9.1-185.17.
*If this is also your home residence and you do not wish to have this information posted, please check here:
Business Name:
FEIN:
DBA/Trade As Name:
Attach a copy of the certificate filed with the circuit court pursuant to Va. Code § 59.1-69 through § 59.1-76.
City, State, Zip:
Check if New Address
Business Physical Address*:
Email Address:
(
)
(
)
Business Phone:
Fax:
05/2014
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