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Run: Inmate Booking Intake Form (Jail)

An inmate booking intake form for recording booking details, identity, custody authority, property inventory, and safety alerts at jail intake. Use it to sta...

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Booking Overview

Booking Date (required)

Booking Time (required)

Booking Number

Facility Name (required)

Intake Officer Name (required)

Booking Type (required)

Identifying Details

Last Name (required)

First Name (required)

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 (required)

Commitment Authority (required)

Commitment / Warrant / Case Number

Primary Hold / Charge Type

Bond Amount

Property Inventory

Was property received at intake? (required)

Property Storage Location

Property Inventory

Property receipt provided to inmate

Yes No N/A

Health, Safety, and Special Handling

Any medical or safety alerts to note? (required)

Alert Type

Special Handling Notes

Record only the minimum necessary information needed for safe custody and reasonable accommodation.

Reasonable accommodation requested

Yes No N/A

Submission and Certification

I certify the information entered is accurate to the best of my knowledge. (required)

Yes No N/A

Intake Officer Signature (required)

Additional Notes

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Email (required)

Your name (optional)

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