Client Security Service Request Form
Please fill out the form below to help us better understand your security needs. A member of our team will follow up with you promptly. All information provided is held in the strictest confidence and in accordance with our company values. We never disclose or share any details without your explicit written consent.
Basic Client Information:
Full Name:
*
First Name
Middle Name
Last Name
Company/Organization Name (If Applicable):
E-mail:
*
example@example.com
Phone Number:
*
Best Method of Contact:
*
Phone Number
Email
Both
Service Details:
Type of Security Service(s) Needed (Check all that apply):
*
Executive Protection/VIP Protection/Close Protection
Workplace Violence/Hostile Termination Support
Armed Security Detail (Uniformed or Plain Clothes)
Unarmed Security Detail (Uniformed or Plain Clothes)
Event Security
Secure Transportation
Explosives Detection K9
Mobile Patrol Services
Church Security & Training
Marina Security
Residential Security Services
Cannabis Security (Dispensary, Grow Op, Escort)
Active Shooter Training
Security Consulting (UAV Drone, Threat and Risk Assessments, Penetration Testing, Policy Creation & Review and Training)
Other
If other please explain the services you are seeking:
Reason For Security Services:
*
Examples: recent incident, ongoing threat, compliance, preventative measures, etc.)
Multiple Locations (If yes please provide additional locations/addresses at the end)?
*
Yes
No
If multiple locations, how many?
Fill out only if needed coverage at multiple different locations
Service Address or Location of Services Performed:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Location(s)/Property(s):
*
Residential
Commercial/Retail
Industrial/Warehouse
Venue (Indoor/Outdoor)
Marina
Construction Site
Religious Institution
Bank/Financial Institution
Cannabis Dispensary/Grow Farm
School or Education Facility
Government Building
Parking Lot/Garage
Bar/Nightclub
Hospital or Medical Facility
Other
Duration of Services:
*
Please Select
One time/Event
Short-Term (6 Months or Less)
Long-Term (6 Months or More)
On-Going
Retainer
Not Sure
Hours of Coverage Needed (Check all that apply):
*
Daytime
Overnight
Weekends
Holidays
24/7
Other
If other please explain what specific coverage hours you need:
Estimated Start Date of Services:
*
-
Month
-
Day
Year
Date
Estimated End Date of Services:
-
Month
-
Day
Year
Date
Risk/Threat Assessment
Have there been any recent security incidents?
*
Yes
No
If yes please explain:
Are there any existing security systems or personnel?
*
Yes
No
If yes please describe:
Level of Threat Perceived:
*
High
Moderate
Low
Unsure
Budget and Decision Making
Estimated Budget (Optional)
Decision Making Timeline:
*
How did you hear about us?
*
Additional Notes or Comments:
Upload any relevant files or documents:
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Please verify that you are human
*
Date
*
-
Month
-
Day
Year
Date
Signature
*
Sign by using a touch tablet/screen or left click and hold as you sign with your mouse. By signing this document you agree to be contacted regarding your inquiry.
Submit
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