Inmate Release Order Form
Inmate Release Order Form
Inmate Full Name
*
First Name
Last Name
Inmate Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inmate Gender
*
Male
Female
Other
Facility Name
*
Booking or Reference Number (non-ID)
*
Scheduled Release Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Releasing Officer Full Name
*
First Name
Last Name
Releasing Officer Email
*
example@example.com
Release Reason
*
Please Select
Sentence Completed
Bail Posted
Transfer to Another Facility
Court Order
Other
Special Instructions or Conditions
Submit Release Order
Should be Empty: