Inmate Form

ARRANGING JAIL RELEASE?

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Full name of Loved One [Inmate]

First NameLast Name
Your Name- who is arranging jail release

First NameLast Name
Your Phone Number

Area CodePhone Number
Your E-mail

County of alleged offense(s)?
JAIL
What jail are they being held
Loved one [Inmate] Infomation
Inmate's Birth Date

MonthDayYear
Sex
Race
Inmate's Phone Number

Area CodePhone Number
Inmate's Email
END OF INFORMATION

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