Client Intake Form
This form is used to collect information for internal purposes only. The information you provide will remain confidential and privileged. Please answer all questions as fully and accurately as possible.
Date
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Month
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Day
Year
Date
Customer
First Name
Last Name
Phone Number
Please enter a valid phone number.
D.O.B
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Month
-
Day
Year
Date
Email
example@example.com
Subject
First Name
Last Name
Subject Birth Date
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Month
-
Day
Year
Date
Subject Height
Use meter as a unit of measure
Subject Weight
Use kilograms as a unit of measure
Subject Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Subject's Employer
Subject Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Facebook Account
Instagram Account
Twitter Account
TikTok Account
What kind of service are you in need of from us? And please write detailed content on the subject you want to be researched and what type of surveillance performed.
Subject Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Does subject own a firearm? Yes/No
Subject's Danger Level
1
2
3
4
5
1 is for very safe 5 is for very dangerous
Date
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Month
-
Day
Year
Date
How soon are you looking to start a case?
Submit
Should be Empty: