
Unified
Judicial
System
BAIL BOND FEE TRANSMITTAL
FORM (Pursuant to Act 2012-535)
Case/Warrant No.
In the ____________________________________ Court of ________________________________, Alabama
(Circuit/District/Municipal) (County/Municipality)
[ ] State of Alabama
[ ] Municipality v. _________________________________________________________, Defendant
Charge: ________________________________
Date of Incident: _________________________
Type of Bond:
[ ] Professional Bail/Surety
[ ] Property
[ ] Cash
[ ] Judicial Public
[ ] Signature/Personal Recognizance
Official Executing the Bond: [ ] Sheriff [ ] Chief of Police
Name: ___________________________________________
Bond Amount: ____________________________________
Name(s) of Surety: __________________________________________________________________
___________________________________________________________________
___________________________________________________________________
TO BE COMPLETED BY LAW ENFORCEMENT
WAS THE $35 BAIL FEE PAID:
[ ] The Bail Fee was paid and is attached hereto
[ ] The Bail Fee has not been paid
[ ] Recognizance/Signature Bond
[ ] Multiple Charges/Same Incident (Fee paid on other charge)
[ ] Release due to Documented Medical Reasons
______________________________________ _______________
Signature of Law Enforcement Office Date
______________________________________
Printed Name
TO BE COMPLETED BY THE CLERK’S OFFICE
Received by:
________________________________________________ ______________
Signature of Circuit/District/Municipal Clerk’s Office Date
________________________________________________
Printed Name