Bail Bond Recovery Contract
This original, signed contract must be kept by the bail bond agency for at least 3 years and provided to the
Department of Licensing when requested.
Defendant/Fugitive name
Last known address
(Area code) Phone number
Check one:
Bail bond agent requests that bail bonds for the person named above be revoked for reasons of insecurity. RCW 10.19.160
Defendant failed to appear before the court on and the following bonds are forfeited:
Bail bond number Amount Case number Date forfeited
This contract is for services between:
Bail bond agency name
Address
(Area code) Phone number
Agency license number
Bail bond agent name License number
and Bail bond recovery agent name
(Area code) Phone number
License number
(If additional recovery agents, complete page 2)
Entered into this day,
, is an agreement for the purpose of locating, apprehending, and
surrendering the defendant/fugitive named above in exchange for lawful consideration.
Bail bond agent signature
Date
Recovery agent signature Date
The original signed copy must be kept in the bail bond agent’s records.
WAC 308-19-445(5)
BB-692-011 (R/6/20)WA Page 1 of 2
Date
Date
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Bail bond agent: When completed, please print this out and sign here.
Recovery agent: Please sign here.
If more than one bail bond recovery agent is contracted to recover this defendant, list additional names here.
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
Bail bond recovery agent name
(Area code) Phone number
License number
Recovery agent signature Date
BB-692-011 (R/6/20)WA Page 2 of 2
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