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Fugitive Recovery Request

Please Complete Form Below

One Of Our Agents Will Contact You Shortly

Bail Bond Agency:

License Number:

State Licensing Authority:

Contact Name:

Business Phone:

Cell Phone:


Business Address:

City, State & Zip Code:

Service Request:

FTA Warrant Status:

Case Status Description: (Check All That Apply)

Expected Start Date Of Service:

Best Time To Contact:

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