Application for Individual Surety License Page 5
8. Have you ever been connected in any way with any bail bonding company other than the one for which you are
now applying? (Including ownership, partial interest in, worked for, etc.)? Yes ___ No ____
If “Yes”, give full details including names, nature of connection, and dates:
9. Have you, or any business owned in whole or in part by you, ever been denied or refused a bail bond license in
any state or withdrawn an application to avoid such action? Yes ___ No ___ If “Yes”, give full details including
State, County, date, and reason for denial or refusal:
10. Applicant has at least 1 year of continuous work experience in the bail bond business in the 2 years preceding the
date of this application? Yes ___ No ___ List name, address, and telephone number of bonding company,
name of licensed bondsman (or agent, if a corporation), County, and license number, as well as dates of employment:
11. Have you, or any business owned in whole or in part by you, ever had a bail bond license suspended, canceled, or
revoked? Yes ___ No ____ If “Yes”, give full details including County, dates, reasons, etc.:
12. Applicant has completed _________ hours of continuing education classes in the 2 years preceding the date of
this application. List location, date, and name of course(s) attended (Minimum of 8 hours
required):_______________________________________________________________________________________
________________________________________________________________________________________________
_______________________________________________________________________________
13. List all employees and/or agents that are going to work for, or that are now working for, this bail bonding
company, and give their name, date of birth, driver’s license number, and State:
14. Are you, or any business with which you are connected, currently involved in any civil litigation (excluding bond
forfeitures)? Yes ___ No ____ If “Yes”, attach copy of suit and give full details including County, Court, case
number, date filed, and nature of litigation:
15. Have you ever been convicted of any felony or misdemeanor offense, in any Jurisdiction? Yes ___ No ____
If “Yes”, give full details including Jurisdiction, State, County, Court, case number, charge, date of offense, and final
disposition:
16. List all counties in which you, or any business owned in whole or in part by you, now has or has ever had a bail
bond license: