[  ] Professional Bail/Surety 

                  [  ] Cash 

                  [  ] Judicial Public 

                  [  ] Signature/Personal Recognizance 
 

Unified 
Judicial 
System 

BAIL BOND FEE TRANSMITTAL 
 FORM (Pursuant to Act 2012-535) 

Case/Warrant No. 

n the ____________________________________ Court of ________________________________, Alabama 
                        (Circuit/District/Municipal)                                                                                     (County/Municipality) 

  ] State of Alabama 
[  ] Municipality          v. _________________________________________________________, Defendant 

ate of Incident: _________________________ 

                  [  ] Property 

  T

harge: ________________________________ 

ype of Bond: 

fficial Executing the Bond: [  ] Sheriff   [  ] Chief of Police 

ame: ___________________________________________ 

ond Amount: ____________________________________ 

ame(s) of Surety: __________________________________________________________________ 

                               ___________________________________________________________________ 

                               ___________________________________________________________________  

TO BE COMPLETED BY LAW ENFORCEMENT 

AS 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 
                             
 

  I

  [

    C

    D

 

  O

  N

  B

    N

  W