Stalking Investigation Intake Form
Client's Name:
First Name
Last Name
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
In your own words, describe what caused you to reach out to a Legal Eye Investigator about your situation:
How long have you known the "stalker?"
How would you describe your relationship?
Has anyone ever witnessed any of the events that have taken place?
Is there any previous domestic abuse or stalking/harassment history?
Have they ever vandalized or destoryed your property?
Have they turned up unannounced more than 3 times a week?
Have they followed or loitered near your home or workplace?
Have they made threats of a physical or sexual violent nature?
Have they harassed or stalked any third party since the harassment began?
Have they acted violently towards anyone else during the stalking incidents?
Has the stalker had problems in the past or present with drugs, alcohol or mental health?
Have they ever been in trouble with the police or do they have a criminal history?
How long has your situation been going on?
How do you receive contact from them (phone calls, emails, social media, texts. etc.)
If electronic, how did you identify the sender?
Do you keep any records of what has happened?
Name of Stalker
First Name
Last Name
Address of Stalker (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In this field, please explain your situation and any other information that may help your case.
Submit
Should be Empty: