Vermont Statutes Title 12. Court Procedure, § 6006. Request therefor for arrest of principal in relief of bail

Whereas I, A. B., on ․․․․․․․․․․ day of ․․․․․․․․․․ A.D. 20․․․, became bail for C. D., in the sum of ․․․․․․․․․․ dollars, for his or her appearance before the Superior Court within and for the county of ․․․․․․․․․․, on the ․․․․․․․․․․ day of ․․․ next; the said C. D. being charged with the crime of ․․․; I now request you to grant me a warrant, in due form of law, to apprehend the body of the said C. D., that I may commit him to jail in the county of ․․․․․․․․․․, in discharge of my recognizance.

Dated at, etc.