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HOUSE OF EVE – JAIL SIGNING INTAKE FORM

Mobile Notary • Apostille Facilitator • Weekend & Late-Night Specialist (714) 856-1377 • eve@houseofeve.org • www.houseofeve.org

Contact information

Full Name:*

Phone Number:*

Email Address:*

Signer (Inmate) Information

Inmate Full Legal Name:*

Booking Number / ID*

Date of Birth:*

Month

Day

Year

Housing Location (Facility, Module, Tier, Cell):*

Relationship to Inmate:*

FACILITY DETAILS

Facility Name:*

Facility Phone (if known):

Facility Address*

DOCUMENT DETAILS

Document(s) Requiring Notarization:*

Does the inmate have valid ID available?*

Yes

Not sure

If NO, alternative verification available?

Yes

Not sure

Special instructions or important details

APPOINTMENT DETAILS

Preferred Date:*

Preferred Time Window:*

Is this urgent or same-day? *

Yes

CONTACT FOR UPDATES (If different from client)

Name:

Phone:

Email:

PAYMENT TERMS

Payment is due in FULL upon appointment confirmation.

Appointments are not held or scheduled until payment has been received.

Preferred Payment Method:

DISCLOSURE / NO-REFUND POLICY

If the inmate refuses to sign, is unavailable, or does not appear at the time of notarization, NO refund will be issued.
Facility delays, lockdowns, or access restrictions are outside the notary’s control.

Payment Policy

Payments are non-refundable. We understand that circumstances may change, and when appropriate, we may offer a service credit toward a future appointment, reviewed on a case-by-case basis.

Credits have no cash value, are non-transferable, and do not guarantee availability

Client Initials:*

“Please type your initials to confirm you have read and agree to the disclosure.”

CONFIRMATION

I certify that all information provided is accurate and I agree to the payment terms and no-refund policy.

Signature:*

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“Full Name (serves as electronic signature)”

Date:*

House of Eve

(714)856-1377

Eve@houseofeve.org

500 Terry Francine Street, 6th Floor, San Francisco, CA 94158

Accessibility Statement

Terms & Conditions

Refund Policy

Stay Connected

Email*

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