Immigration Bail Request for Believers Bail Out

Believers Bail Out assists with immigration bonds on a case by case basis. All information collected on this form is kept strictly confidential. Please fill out all the required fields with the red asterisk next to them. The rest of the fields are optional. The more information we have, the faster we can process the bailout request.

All fields marked with * are required.

Client Information

Please provide the following information about the person who is in need of bond support.

Full legal name of person needing bailout *

Alien Registration Number or Visa Number.

Name of the detention facility that they are being held at

In which state is the detention facility?

What was the date of their detention?

What is their date of birth?

What is their country of origin? *

What is their gender?

Woman

Man

Transgender

Prefer not to respond

Non-binary/non-conforming

What is their bond amount?

If this bond is paid, are there any other reasons this person would not be immediately released? For example, if they have parole, have other charges, have other debts or fees that are owed, etc.

Is a bail bonds company involved?

What is their primary language?

What is the religious identity of the person needing bail?

Does this person have dependents they support with care or finances?

If they have dependents, please list relationships (e.g., 3 children, 2 elders, etc).

Is there anything we need to know about this person’s detention or situation? For instance, are there any concerns related to health, gender, religious sect, etc

Release Information

This section is optional. If known, please provide the following information about where the person would be released to if they were to be bailed out and how they can be contacted post-bailout.

Release address: Street address line 1

Release address: Street address line 2

Release address: City

Release address: State

Release address: Zip

Attorney Information

If known, please provide the contact information for their attorney. If unknown, or if they do not have an attorney, please leave blank.

What is their attorney's name?

What is their attorney's email?

What is their attorney's phone number?

Community Contact Information

Please provide the contact information for the person who most closely knows the situation of the person detained. If this is you, leave this section blank, and enter it into the 'Referrer Information' section.

What is the name of the community contact or family member who knows most about the person's case?

What is the community contact/family member's relationship to the detained person?

What is the community contact/family member's phone number?

What is the community contact/family member's email address?

Referrer Information

Please enter your information here.

What is your name? *

What is your relationship to the person needing bail? *

If you are referring on behalf of an organization, which organization? (leave blank if not referring on behalf of organization)

What is your email? *

What is your phone number? *

How did you hear about BBO? *

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