RE-ARREST AUTHORIZATION BY BAIL SURETY

_________________________________the bail bond surety or agent thereof for a bail

Name of Bail Bonds Agent

bond duly executed for the release of ________________________________________________

Name of Client / Defendant

___________________ _________________________________________________________
Date of Birth Last Known Address

Hereby authorizes _______________________________________________________________

Name of Fugitive Recovery Agent / Company / Employee / Agent

To locate, apprehend, take into custody and surrender the above named Client / Defendant to the
custody of the Court, Law Enforcement Agency, Correction or Detention Facility in accordance
with all applicable local, state and federal laws.

This authorization shall expire on__________________ or sooner by written notice.

Proceedings against the above named defendant are pending in the following court:

______________________________________________________________________________
Name of Court, District, Municipality, County, State

______________________________________________________________________________
Docket Number(s)

______________________________________________________________________________
Description of Charge(s)

Address & Telephone Number of Bail Bond Company / Surety:

______________________________________________________________________________

The above defendant having failed to appear for a court proceeding or otherwise having violated
the conditions of release and / or bail bond contract is subject to re-arrest and return to custody.

_________________________________
Signature of Bail Surety / Agent

SUBSCRIBED AND SWORN to before me this ________day of _______________, _________

By______________________________. Proved to me on the basis of satisfactory evidence to be

The person(s) who appeared before me.

_________________________________
Signature of Notary Public

NOTARY SEAL Notary Public for the State of:______________

FORM SA-1 NATIONAL ASSOCIATION OF FUGITIVE RECOVERY AGENTS