Denver: (303) 920-4433 | Larimer: (970) 221-3200 Weld: (970) 356-5353 | Boulder: (303) 449-8200


Defendant Application

Once your bond has been posted and you have been released from jail, we need you to provide us with your information. We must receive your information no more than two days after your bond has been posted. All categories must be filled out or the form will not allow you to email back to us.

ALL QUESTIONS MUST BE ANSWERED IN FULL. PROVIDING FALSE OR MISLEADING INFORMATION CAN RESULT IN THE TERMINATION OF BOND.

  • Significant Other Information

  • Emergency Contact Information

  • Personal Reference Notice

    *** MUST HAVE ALL 6 FILLED OUT COMPLETELY*** YOUR COSIGNER CAN NOT BE INCLUDED IN YOUR REFERENCES 6 RELATIVES IF YOU DO NOT HAVE ALL 6 RELATIVES PROCEED WITH THE REMAINDER OF FRIENDS
  • Personal Reference 1 Information

  • Personal Reference 2

  • Personal Reference 3

  • Personal Reference 4

  • Personal Reference 5

  • Personal Referencce 6

  • Acknowledgement and Form Submission

    By typing your name below and submitting this form you are acknowledging it is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Colorado Department of Regulatory Agencies. § 10-1-128(6)(a) C.R.S.   The undersigned hereby certify the truth of all statements. In the applications, authorized the Surety to verify this information and to obtain additional information from any source.
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