Defendant Route

Defendant Info

First, we'll need a little info about yourself. Please complete all fields below!
Defendant's Full Name*

First

Last
Defendant's Date of Birth*
MM
DD
YYYY
Defendant's Contact Phone Number*
Defendant's Address*

Street Address

City
State
ZIP Code
Defendant's Email*

Enter Email

Confirm Email
County of Arrest*
Enter County of Arrest*
Charged/Accused of*
Full Bond Amount ($)*
Defendant's Driver's License Number*
Defendant's Social Security Number*
Are you currently employed?*
- No
- Yes
Employed By*
Full Name of Your Boss/Manager*
Leave blank if you don't have a boss.

First

Last
Employer Address*

Street Address

City
State
ZIP Code
Employer Phone*

Personal Info

Thanks! Now we need to dig a little deeper for our records. Please complete all fields below.
Height (inches)*
Weight (lbs)*
Eye Color*
Hair Color*
What's your hair color?*
Race*
Identification Marks or Tattoos*
Are you known as a different name other than your legal first name?*
- No
- Yes
Nickname/Alias*
Have you lived somewhere other than your current address within the last 5 years?*
- No
- Yes
Former Home Address*

Street Address

City
State
ZIP Code
Do you have any previous employment history?*
- No
- Yes
Name of Previous Employer*
Do you have a vehicle?*
- No
- Yes
Vehicle Year*
Vehicle Make*
Vehicle Model*
Vehicle Color*
License Tag #*

Family Info

Next, tell us a little about your family (if applicable).
Are you married?*
- No
- Yes
Spouse's Full Name*

First

Last
Is your spouse currently employed?*
- No
- Yes
Spouse's Employer*
Spouse's Employment Address*

Street Address

City
State
ZIP Code
Spouse's Employment Phone*
Do you have any siblings?*
- No
- Yes
Brother or Sister Full Name*

First

Last
Brother or Sister Phone*

References

Please provide the info for at least one person we can contact as a reference. We'd prefer three references if possible.
Reference #1
Name

First

Last
Phone
Reference #2 (optional)
Name

First

Last
Phone
Reference #3 (optional)
Name

First

Last
Phone

Legal Info

Cool, the last bit of info we need from you is below. Complete all fields to move onto the next step.
Are you currently out on bond with any other company other than Bail Bonds Now?*
- No
- Yes
Please let us know why:*
Have you been arrested before?*
- No
- Yes
Why were you arrested?*
Do you have an attorney?*
- Not Yet
- Yes
Attorney's Full Name*

First

Last
Attorney's Phone*

Electronic Document & Identity Legal Disclaimer

We've generated your legal documents and they are ready for review. Please note, your signature will NOT appear until you've signed using the box at the bottom of the page - this is for your review first to make sure you consent to the agreement.

Once you've reviewed, scroll down to sign your documents and complete the process!
Here's Your Legal Documents:
Sign Legal Documents Below:*
Please acknowledge that you have completely read, fully understand, and agree to all the Documents listed above. By E-Signing, you are fully agreeing to the terms and conditions as listed in the above forms/documents. The above listed documents are legally binding in a court of law and will be enforced according. In the event this secured site or email account(s) are compromised or hacked electronically you agree to hold Bail Bonds Now LLC. harmless of any and all damages that may occur: Including but not limited to lost or stolen Credit/Debit card, Personal address(s), phone number(s), E-mail, or Facebook accounts that are entered onto this secured site. Please be advised that it is against the law to complete the above listed documents using someone else's identity, if determined the above listed documents were completed using another’s Identification, credit, or debit card without expressed permission from that individual you will be prosecuted in a court of law. To better protect and verify the legitimacy of the above completed documents your online computer IP address with be documented and attached electronically. Lastly, by accepting the terms and conditions of this legally binding contract you agree to hold harmless and indemnify Bail Bond Now LLC., in the event any claim is made breach of any electronically stored data or document(s). Jurisdiction and venue of any dispute arising hereunder are performable in West Palm Beach, Palm Beach County, Florida.

License Upload

Last step! We just need a copy of your license to complete your submission. You can either choose a photo from your device or take a photo using your camera. Please make sure the photo of your license is clear and on a light background to avoid delays in processing.
Upload or take a photo of your license:*
Hit the button below to take a photo of your license or to choose a photo saved in your photo library.
Drop files here or

Accepted file types: jpg, png, png, jpeg.
SMS Consent
I agree to the SMS policy.
By checking this box you agree to receive recurring messages from Bail Bonds Now, Reply STOP to Opt out. Reply HELP for help. Message frequency varies. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages.

Step 1 of 7

Defendant Info

Personal Info

Family Info

References

Reference #1

Reference #2 (optional)

Reference #3 (optional)

Legal Info

Electronic Document & Identity Legal Disclaimer

Once you've reviewed, scroll down to sign your documents and complete the process!

License Upload