Form · 2 pages

Application for Inmate

The main intake form for the person being bonded out. Four good contact names and phone numbers are required.

Download PDF (2 pages) Call 770-560-1330

Step one of the process · you still sign in person

Two ways to do this

Either works. Pick whichever is easier.

Option 1 Download the PDF Print it, fill it in by hand, bring it to the office or fax 770-775-0659.

Option 2 Fill it in on this page Sends your details to the office. It does not finish the bond, you still sign in person.

Office 464 W 3rd St, Suite 102 Jackson, GA 30233 · Fax 770-775-0659

This is the form we work from. It tells us who the defendant is, where they live and work, and who we can reach if we need to. The four contacts at the bottom are not optional, they are the part most applications come back missing.

Submitting this form does not finish the bond

This sends your information to the office early so the paperwork is quicker. It is the first step, not the last one. Nobody is released on the strength of a web form.

Send this form. It arrives at the office straight away.
We call you back. We confirm the bond amount and tell you the fee before you commit to anything.
Give us the Social Security number. By fax to 770-775-0659, or in person at the office. Never by email, and never by text.
Sign the printed copy in person. Your signature on paper, with the bonding agent, is what makes it binding.

In a hurry? Skip all of this and call 770-560-1330. The phone is always faster than a form.

Social Security numbers are not collected here

The printed form has a Social Security field. We deliberately leave it off the web version. Bring it to the agent in person or fax the signed page to 770-775-0659.

Your contact details

Your first name *

Your last name

Your email *

Your phone

Inmate details

Full name (last, first, middle)

Street address

City

State

Zip code

Phone number

Date of birth

Driver's licence number

Licence state

Marital status

Employer name

Employer address

Any previous arrest

When

Family

Spouse name

Spouse address (if different)

Mother's name

Phone

Mother's address

Father's name

Phone

Father's address

Sister's name

Phone

Brother's name

Phone

Names and ages of children

Four contacts

Contact 1 name

Phone

Contact 2 name

Phone

Contact 3 name

Phone

Contact 4 name

Phone

Anything else

Notes for the bonding agent *

I understand that submitting this form does not complete the bond. AAA Action Bonding will contact me, I will sign the printed application in person with the bonding agent, and I will provide my Social Security number by fax to 770-775-0659 or in person at the office.

This does not finish the bond. Submitting is not a signature. We will call you back, and you sign the printed copy in person with the bonding agent. If anything is urgent, call 770-560-1330.

24 hours a day, 7 days a week

Rather do this on the phone?

Call and we will walk you through the paperwork line by line. There is no charge for asking.

Call 770-560-1330 Send bond details

Call now 770-560-1330