Defendant Authorization Form printable pdf download

Defendant Authorization Form

Defendant Name: _____________________________________________________

Name of Bail Agent: ___________________________________________________

Name of Bail Bond Company: ____________________________________________

By signing my name below, on this date, I authorize the bail bond agent named herein

to execute bail bonds on behalf of myself or the person I represent. I understand that

this will begin the bail bond process.

NOTE: If I am signing this form as a duly designated representative of the defendant, I

certify that I am at least 18 years of age and that I have full permission of the defendant

to enter into this agreement.

__________________________________________________ ________________

Signature of Defendant or Authorized Representative Date

__________________________________________________

Printed Name of Authorized Representative (if applicable)

__________________________________________________ ________________

Signature Bail Agent Date

Bail Agent License Number: ______________________________________________

Defendant Authorization Form