Bond Request Form — Virginia Department of Corrections

Please complete the form below if you are an employer or company seeking to initiate a bond request. Once submitted, the Virginia Bonding Coordinator (V.B.C.) will take care of the rest. You will receive an email confirmation containing a Request ID, which you should reference throughout the process. Within two business days, you will be contacted to finalize your bond request.

On the day of contact, you will receive a bond letter confirmation, via email, from the V.B.C. to acknowledge that the bond was issued for your employee. Next, you will receive the bond insurance policy for your records through the United States Postal Services. This will normally take about 15 business days for you to receive the bond insurance policy documentation. If you have any questions, please contact the V.B.C.

Bond Request as an Employer

Required Information*

Employer/Company Information

Company Name*
Company Address Line 1* Company Address Line 2
Company City* Company State* Company Zip*

Employer/Company Contact

This is the person who will be contacted by the Virginia Board Coordinator for more information.

Company Contact First Name* Company Contact Last Name*
Company Contact Work Title* Company Contact Work Email*
Phone Number* Ext.

Bondee Information

Bondee First Name* Bondee Middle Initial Bondee Last Name*
Bondee Address Line 1* Bondee Address Line 2
Bondee City* Bondee State* Bondee Zip*
Job Title* Hourly Wages* Average Hours per Week*
Bondee Phone Number*
Date of Hire* Additional Information (Do not include any personal information in message.)

Callback Date & Time

Please choose three dates and times that the Virginia Bond Coordinator can contact you to gather additional required information in order to complete the bond process.

#1 Date* Time*

#2 Date* Time*

#3 Date* Time*

Address

Virginia Department of Corrections

P.O. Box 26963
Richmond, VA 23261

DOCmail@vadoc.virginia.gov

Main Office

(804) 674-3000