Superior Court of California, County of Imperial
REQUEST FOR INCREASE/DECREASE IN BAIL Penal Code ยง1269c Date: Name of Defendant: Booking Charges: Bail Pursuant to Bail Schedule: $ Bail Requested: $ Booking/Case No.:
[ ] Pursuant to Penal Code section 1275, arresting officer requests arrestee not be released on bail until appearing in court to show the non-felonious source of any bail money. I request an [ ] increase in bail [ ] decrease in bail [ ] O.R. for the following reasons:
Time of this Request: Name and ID Number of Requesting Person
Time of Booking: Agency:
I declare under penalty of perjury under the laws of the state of California that the foregoing is true and correct. Dated: Signature of Person Making Request Request for Change in Bail: Approved: Request for PC1275: Bail Set At: Manner of Request: Approved: $ [ ] Phone [ ] In Person Denied: Denied: Time: Name of Magistrate:
Name of Person Receiving Authorization from Magistrate:
Signature of [ ] Magistrate or [ ] Person Receiving Authorization from Magistrate
I certify that the defendant referenced herein has been booked into the Imperial County Jail on the charges noted above. Date: Time: (Name of Sheriff's Employee Receiving Request)
Form Approved for Mandatory Use CR-01 (adopted 7/1/07)