Female Inmate Booking Form
Complete this form to record essential booking and intake details for a female inmate.
Inmate Identification
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender Identity / Sex
*
Female
Male
Intersex
Non-binary
Other
Booking Details
Booking Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Arresting Agency or Booking Source
*
Booking Status or Reason
*
Please Select
New Intake
Transfer
Return from Court
Medical Return
Release Processing
Other
Facility Assignment
Assigned Facility
*
Please Select
Main Jail
Women’s Correctional Center
County Detention Annex
State Women’s Facility
Other
Housing Unit / Dormitory / Block
*
Please Select
Unit A
Unit B
Unit C
Dormitory 1
Dormitory 2
Block 1
Block 2
Other
Classification / Custody Level
*
Minimum
Low
Medium
Medium-High
Maximum
Protective Custody
Administrative Segregation
Other
Emergency and Contact Information
Emergency Contact Name
*
First Name
Middle Name
Last Name
Relationship to Inmate
*
Please Select
Parent
Spouse
Sibling
Child
Relative
Friend
Attorney
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Intake Notes
Special Intake Notes
Clothing and Property Received
Non-Medical Special Handling Notes
Submit
Should be Empty: