Inmate Release Log Form
Please complete all sections to document the release of an inmate from the facility.
Inmate Full Name
*
First Name
Last Name
Inmate ID Number
*
Date and Time of Release
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Release
*
Please Select
Sentence Completed
Parole
Bail
Transfer to Another Facility
Court Order
Other
Destination Upon Release
*
Releasing Officer Name
*
First Name
Last Name
Receiving Staff Name (if applicable)
First Name
Last Name
Was all inmate property returned?
*
Yes
No (list items withheld below)
List any property items withheld (if applicable)
Additional Notes or Observations
Inmate Signature (to confirm receipt of property and understanding of release)
*
Staff Signature (Releasing Officer)
*
Submit Release Log
Submit Release Log
Should be Empty: