Arrest and Booking Information Form
Please complete the Arrest and Booking Information Form to record all required intake details accurately and clearly.
Full Name of Individual Being Booked
*
First Name
Last Name
Booking Number / Case Number (if applicable)
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Government ID Number (e.g., Driver’s License or State ID)
If collecting Government ID Numbers, ensure this field aligns with your department’s policies and legal requirements. Remove or customize as needed.
Date and Time of Arrest/Booking
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Arresting Agency / Department
*
Arrest Location
*
Reason for Arrest / Charges
*
Custody Status at Booking
*
Please Select
In Custody
Released on Bail
Released on Own Recognizance
Transferred to Another Agency
Other
Booking Officer Name / Badge Number
*
Submit
Should be Empty: