General Assignment Form
Please be as detailed and accurate as possible as details provided ultimately will impact the overall results of your investigation.
CLIENT INFORMATION
This first page is strictly for CLIENT information (your information). Page 2 will be where you enter the details about who is purposed to be investigated.
Client Name
*
First Name
Last Name
Client E-mail
*
example@example.com
Client Phone Number
*
Would you like us to also SMS/Text you at this number? (In regards to this Investigation only)
*
Please Select
Yes
No
You will be able to request that we provide you real time case updates via text message during our consultation.
For confidentiality purposes, do you have a specific time / date or method for us to get in touch with you?
(For instance, add a time when your safe and alone, if pertaining to a spousal investigation etc)
Client Assistant Name (For organizations only)
First Name
Last Name
Company Name (where applicable)
Client Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have legal representation currently for this matter? If so, please provide their contact information below and/or have them contact us if needed.
*
Yes
No
Legal Representation / Lawyers Contact Info:
Please include the law firms name, address, telephone number and email if you are able to.
What is your relationship with the subject?
*
Additional Information (if needed)
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Subject Information
This page will collect information related to the subject of the investigation.
Subject's full name
*
First Name
Middle Name
Last Name
Subject's Gender
*
Subject's Last Known Address (Current) - Please include any and all related known addresses regardless of how outdated they are to avoid duplicate information being identified
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Subject's Additional/Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Subject's Personal Phone Numbers
*
Please enter a valid phone number.
Please enter a valid phone number.
Additional Information (where applicable)
Place Of Employment / Previous Employment (where applicable)
Employer's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Subject's Business Phone Number (where applicable)
Please enter a valid phone number.
Subject's Estimated Height
Subject's Estimated Weight
Subject's Date Of Birth (or approximate age range if unknown)
*
Marital Status
*
Please select any documents/identification you may have on your purposed subject.
*
Photo I.D.
Social Insurance Number
Social Media Posts/Photos
P.P.S.A
Articles of Incorporation (listing the subject as director of a company)
Applications (loans, tenancy agreements, credit cards, employment, rental, stock etc)
Credit Report
Driver's Licenses (vehicle searches, plate registrations, vehicle registration etc)
Motor Vehicle Accident Report (MVA)
Police Report (offence notices etc)
Cheques
Other
Name of Spouse / Partner
Does the subject have any children in their custody?
Please Select
Yes
No
Unknown
If yes, what ages are the children roughly?
How would you describe the subject? (Please include any identifiable information such as piercings, tattoos, hair color, hair length, things the subject likes to wear, visible/non visible disabilities)
Does the subject have any known social media accounts? (If so, please copy and paste the website links)
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Vehicle Information
This page will collect information related to any vehicles the subject may own or operate.
Subject's Driver Licence Number
Vehicle #1
Licence Plate Number
Make/Model
Additional Vehicle Information (Please include any identifiable information such as any vehicle body modifications, stickers or damage the vehicle may or may not have)
Vehicle #2
Licence Plate Number
Make/Model
Additional Vehicle Information (Please include any identifiable information such as any vehicle body modifications, stickers or damage the vehicle may or may not have)
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Your Instructions
This page will collect information related to your instructions and which services you would like to request from Lunar Investigations Inc.
Investigative Services Requested
*
Surveillance / Obtain Video Documentation
Locates - Skip Tracing (find a missing person / debtor)
Background Check
Property Search
Cyber Investigation / Social Media Sweep
Child Custody Investigation
Matrimonial / Spouse Investigation
Other
Other (if none of the above seem to fit your request, please describe your request)
Have you reached out to any other investigation agencies for this matter and has any prior work been conducted on this subject that you are aware of?
*
Has a police report been filed by you or anyone else that you are aware of?
*
Please Select
Yes
No
Unknown
Do you have a judgment on the subject? (optional answer)
Please Select
Yes
No
Unknown
If yes, how much was the judgment for and when was it issued? (Please note, we do not currently offer credit searches however; should you already be in possession of one, you may provide it in aid of the investigation)
Do you have a restraining / protective order in place on yourself or the subject? (Or any other reason why you should not be in interacting with this subject)
*
Please Select
Yes
No
Additional Information
If requesting Surveillance (how many days or hours would you like to request?)
Do you have any preferred dates / times for your Surveillance Request?
Do you require this to be a rush service? (Additional charges may apply)
Please Select
Yes
No
If yes, please include exact dates and times in the above boxes as well as include the due date in this box
*
Due date for rush service
To your knowledge, has any previous surveillance been conducted on this subject or anyone within their home in the past?
*
Please Select
Yes
No
Does the subject have any upcoming appointments?
*
Does the subject have any background in policing, investigations or a trade such as an electrician?
*
(Please also list if the subject holds any licenses i.e Firearms Licence, Hunting Licence or any other specialized licence class)
Do you intend to use this investigations findings in a potential court/legal matter?
*
Please Select
Yes
No
Unsure at this time
Please include a general reason or intended goal for your Investigation Request.
*
What is your preferred payment method for this request? (If you like, our default is to send you a link via email, which will allow you to securely enter your payment details)
*
Please Select
Credit Card
Debit Card
Interac E-Transfer
Cheque
Wire Transfer
Paypal
By clicking agree below, I (the client) agree that there is not a charge, pending or otherwise placed on myself of stalking/aggravated stalking (including Cyber stalking) in regards to the subject of the requested investigation.
*
I AGREE
By clicking agree below, I (the client) agree that there is no restraining or protective order/peace bond or any other such order against myself (the client) or any associated parties in regards to the subject of the requested investigation.
*
I AGREE
By clicking agree below, I (the client) have received an Investigative Services Agreement from Lunar Investigations Inc and have read it fully and completely and I understand that there is protections in place for both myself and the company (Lunar Investigations Inc). By clicking "I Agree" you consent to enter into an Investigative Services Agreement with Lunar Investigations as a client.
*
I AGREE
Please upload any related information pertaining to the subject of investigation. (i.e Photos/Documents/Conversations/Social Media)
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Client Satisfaction
Please share with us your experience filling out the form. We thank you for your business. PLEASE NOTE: We will review your request as quick as possible, you should hear back from us within the day.
How would you rate your experience filling out our Investigation Request form?
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1
2
3
4
5
Would you be so kind as to opt-in to receive a follow up email from us with a link after your investigation is complete to leave us a customer review on Google Reviews? (You will not be subscribed to any ongoing mailing lists).
Please Select
Yes
No
I will leave one, no need to send me an additional email.
Thank you so much!
Any last minute thoughts you would like to add?
Please verify that you are human
*
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