Inmate Release Document

INMATE RELEASE DOCUMENT

Parties

Recitals

WHEREAS, Facility Name: is the lawful custodian of the person identified below pursuant to applicable detention authority;

WHEREAS, Inmate Name: ID Number: Date of Birth: is eligible for release under the conditions set forth herein;

WHEREAS, the parties desire to document the conditions, responsibilities, and indemnities associated with the release of the inmate and any personal property to the Receiving Party.

Scope of Release

The Facility shall release custody, or personal property in the Facility's possession, as described below, to the Receiving Party subject to compliance with the conditions in this document. The Receiving Party shall provide valid identification and evidence of authority to receive the inmate or property prior to release.

Anticipated Release Date: Anticipated Release Time:

Payment Terms

As consideration for processing and effecting the release described herein, the Receiving Party agrees to pay Facility the fees set forth in this section. Payment is a condition precedent to release unless otherwise agreed in writing.

Late Payment: A late fee of will be applied to any unpaid balance not received within days of invoice. Interest will accrue on overdue balances at the lesser of the statutory maximum or

Term and Termination

This agreement becomes effective on the Start Date and terminates as provided below. Either party may terminate for material breach if the breaching party fails to cure within the notice period.

Start Date: End Date: Notice Period for Cure (days):

Confidentiality

The parties acknowledge that certain information exchanged in connection with this release may be confidential or protected by law. The Receiving Party agrees to maintain confidentiality of protected records and personal information to the extent required by law and to use such information only for purposes related to effecting the release.

Release and Indemnification

The Receiving Party, on behalf of itself and its agents, executors and assigns, hereby releases and forever discharges the Facility, its officers, employees and agents from any and all claims, causes of action, liabilities, demands, losses or damages arising out of or related to the release, custody transfer, transportation, or possession of the inmate or released property, except to the extent resulting from the Facility's gross negligence or willful misconduct.

The Receiving Party agrees to indemnify, defend and hold harmless the Facility from and against any claims, losses, liabilities, costs and expenses (including reasonable attorneys' fees) arising from the Receiving Party's breach of this document, negligence, or failure to comply with applicable law.

By checking this box, the Receiving Party affirms that they have read, understand, and accept the Release and Indemnification provisions contained herein.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

Entire Agreement

This document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Notices

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses provided above. Notices are effective upon personal delivery or three (3) days after deposit with the U.S. mail, postage prepaid, or upon confirmed delivery if sent by courier.

Authority to Execute

The individuals signing below represent and warrant that they are authorized to execute this Agreement on behalf of the party for whom they sign and that execution of this Agreement is not in violation of any other agreement binding on such party.

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