Inmate Booking Intake Form (Jail)

Captures booking information, identifying details, property inventory, and commitment authority at jail intake.

Booking Overview

• Booking Date
• Booking Time
• Booking Number
• Facility Name
• Intake Officer Name
• Booking Type

Identifying Details

• Last Name
• First Name
• Middle Name
• Date of Birth
  Collect only if required for identification or booking verification.
• Sex
• Race / Ethnicity
• Booking Photo

Custody and Commitment Authority

• Custody Status
• Commitment Authority
• Commitment / Warrant / Case Number
• Primary Hold / Charge Type
• Bond Amount

Property Inventory

• Was property received at intake?
• Property Storage Location
• Property Inventory
• Property receipt provided to inmate

Health, Safety, and Special Handling

• Any medical or safety alerts to note?
• Alert Type
• Special Handling Notes
  Record only the minimum necessary information needed for safe custody and reasonable accommodation.
• Reasonable accommodation requested

Submission and Certification

• I certify the information entered is accurate to the best of my knowledge.
• Intake Officer Signature
• Additional Notes