Application

Please fill out our application below for our team to review. We will be in contact with you shortly to discuss the opportunity to work with Castle Bail Bonds.

Personal Information
Name*
First Last
Date of Birth*
MM
DD
YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How long have you been at your current address?*
Home Phone
Mobile Phone
Email*
Bail License #*
Drivers License #*
Bail Bond Experience
Are you presently in the bail bond industry? (If no, please provide current occupation and employer.)*
Can your present employer be contacted?*
- Yes
- No
New Agent Relationship
How did you hear about Castle Bail Bonds?*
Why are you looking for a new general agency?*
What amount of annual bond liability do you currently write?*
In What territory/area do you currently write?*
General Questions
Has any insurance company, general agent, or county/jurisdiction terminated business with you in the past? (If yes, please explain.)*
Has is it ever been necessary for payment of forfeitures, or judgments to be paid out of your BUF or by your surety? (If yes, please explain.)*
Have you had any business or professional license suspended or revoked or are such proceedings pending against you? (If yes, please explain.)*
Has any disciplinary action ever been taken against you by any public authority (i.e. law enforcement or department of insurance)? (If yes, please explain.)*
Have any judgments, suits, or tax liens been filed against you? (If yes, please explain.)*
Have you ever filed for bankruptcy?*
- Yes
- No
Have you ever been arrested or charged with a crime?*
- Yes
- No
References
Reference 1*
Reference 2*
Reference 3*
Education and work experience
Please provide information about your educational background and employment history.*
Name
This field is for validation purposes and should be left unchanged.

Application

Personal Information

Bail Bond Experience

New Agent Relationship

General Questions

References

Education and work experience