Galloway Bail Bonds Pre-Intake Form

This application is used for pre-approval and intake purposes only. Submitting this application does not guarantee bond approval or that a bond will be posted. Additional verification, documentation, signatures, payment, and official paperwork may be required before approval.

Personal Completing Application

Name(Required)

Defendant Information

Full Legal Name
MM slash DD slash YYYY
Current Address
Rent or Own

Jail / Bond Information

MM slash DD slash YYYY

Cosigner / Indemnitor Information

Full Legal Name
MM slash DD slash YYYY
Home Address
Rent or Own

Required Uploads

Max. file size: 32 MB.
Max. file size: 32 MB.
Max. file size: 32 MB.

Optional Uploads

Max. file size: 32 MB.
Max. file size: 32 MB.