Locations
Coeur d’Alene, ID / Kootenai County
Sandpoint / Bonner County
Wallace / Shoshone County
St. Maries / Benewah County
HOW BAIL WORKS
PAYMENT OPTIONS
RESOURCES & FAQ
CONTACT US
(208) 762-0975
Online Application
Quick Release Bail Bonds Indemnitor Application & Contract
Wallace/Shoshone County
"
*
" indicates required fields
Defendant Information
Defendant's Name
*
Offense
*
Bond Amount
*
(Full bond amount, not the premium)
Indemnitor's Information
Indemnitor's Name
*
First
Last
Indemnitor's Relationship to Defendant
*
Indemnitor's Email
*
Indemnitor's Phone Number
*
Indemnitor's Date of Birth
*
MM slash DD slash YYYY
Indemnitor's Driver's License #
*
Photo of Indemnitor's Driver's License
*
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 4 MB.
Please upload a snapshot of your driver's license (jpg, png, or pdf)
Indemnitor's Social Security Number
*
Last 4 Digits Only
Indemnitor's Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Is the Indemnitor a US military veteran or a current member of any branch of the US military?
*
Yes
No
Indemnitor's Vehicle Information
Vehicle Make
*
(Honda, Ford, Toyota, etc.)
Vehicle Model
*
Vehicle Year
*
(2011, 2019, etc.)
Vehicle Color
*
License Plate #
*
Indemnitor's Current Employment Information
Is the Indemnitor Currently Employed?
*
Yes
No
Indemnitor's Present Occupation
*
Indemnitor's Employer
*
Indemnitor's Employer Phone Number
*
Indemnitor's Job Title
*
How Long has the Indemnitor Been Employed Here?
*
Indemnitor's Employment Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Indemnitor's Living Situation
Do you rent or own your home?
*
Rent
Own
Landlord's Name
*
Landlord's Phone Number
*
Indemnitor's Marital Status / Spouse Employment
Are You Married?
*
Yes
No
Spouse Name
*
First
Last
Spouse Phone Number
*
Does Your Spouse Work?
*
Yes
No
Spouse Present Occupation
*
Spouse Job Title
*
How Long has Spouse been Employed?
*
Spouse Employment Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
You Will Need to Provide 3 Contacts to Complete this Application
Indemnitor - Contact Person 1
Contact Person 1 - Name
*
First
Last
Relationship to the Indemnitor
*
Phone Number
*
Contact Person 1 - Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Indemnitor - Contact Person 2
Contact Person 2 - Name
*
First
Last
Relationship to the Indemnitor
*
Phone Number
*
Contact Person 2 - Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Indemnitor - Contact Person 3
Contact Person 3 - Name
*
First
Last
Relationship to the Indemnitor
*
Phone Number
*
Contact Person 3 - Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Recovery/Apprehension Agreement
*
I agree to the Terms & Conditions
By signing below, the Indemnitor agrees to hire Quick Release Bail Bonds for the purpose of apprehending the named Defendant. I/we further agree to pay all fees and expenses incurred in doing so. If an outside agency is used, I/we understand a standard fee of 10% of the original bond amount plus expenses could be incurred. Any collateral held in trust could be used to clear the balance of any expenses.
**** THE PREMIUM PAID ON THIS BOND IS NON-REFUNDABLE ***
Please read our complete
Terms & Conditions
.
Indemnitor Signature
*
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.
Δ
Locations
Coeur d’Alene, ID / Kootenai County
Sandpoint / Bonner County
Wallace / Shoshone County
St. Maries / Benewah County
HOW BAIL WORKS
PAYMENT OPTIONS
RESOURCES & FAQ
CONTACT US
(208) 762-0975
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