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Bail Bond Agent (Surety) Application

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Form Instructions

INSTRUCTIONS: CONNECTICUT APPLICATION FOR INDIVIDUAL SURETY BAIL BOND AGENT LICENSE

To apply for an individual surety bail bond agent license in Connecticut, use the form discussed in this article. This document may be obtained from the website of the government of Connecticut.

Connecticut Application For Individual Surety Bail Bond Agent License Step 1: Enter your Social Security number in box 1. Skip boxes 2 and 3.

Connecticut Application For Individual Surety Bail Bond Agent License Step 2: In boxes 4 through 7, enter your last name, first name, middle name and date of birth.

Connecticut Application For Individual Surety Bail Bond Agent License Step 3: In boxes 8 through 12, enter your residential street address, P.O. box number, city, state and zip code.

Connecticut Application For Individual Surety Bail Bond Agent License Step 4: Enter your home phone number in box 13.

Connecticut Application For Individual Surety Bail Bond Agent License Step 5: Circle "male" or "female" to indicate your gender in box 14.

Connecticut Application For Individual Surety Bail Bond Agent License Step 6: Indicate whether you are a citizen of the United States by checking "yes" or "no" in box 15. If no, write which country you are a citizen of. You must also supply proof of work authorization.

Connecticut Application For Individual Surety Bail Bond Agent License Step 7: Enter the business or employer name in box 16.

Connecticut Application For Individual Surety Bail Bond Agent License Step 8: In boxes 17 through 21, enter the business street address, P.O. box number, city, state and zip code.

Connecticut Application For Individual Surety Bail Bond Agent License Step 9: In boxes 22 through 25, enter your business phone number, fax number, email address and web site address.

Connecticut Application For Individual Surety Bail Bond Agent License Step 10: In boxes 26 through 30, enter the applicant mailing address, P.O. box number, city, state and zip code.

Connecticut Application For Individual Surety Bail Bond Agent License Step 11: List the tax ID for your business firms if the applicant is licensed to be an active member of the business entity on line 31. Indicate whether you are seeking a new license or reinstatement with a check mark on line 32.

Connecticut Application For Individual Surety Bail Bond Agent License Step 12: Answer all questions about your background and sign and date the form where indicated.

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