Larkins Investigations Client Intake Form
CLIENT INTAKE FORM Initial Consultation with a Licensed Investigator (half hour) FREE.* *Any additional time will be charged based on our hourly fees. Before we accept any investigation, it is essential that you be interviewed by one of our Licensed Investigators to determine the special needs of your case and provide you with a realistic idea of the services that we are able to provide. The investigator will also estimate the projected expense of your investigation and the amount of time it will take with most cases. However, every case is handle based upon the information provided. Please answer every question. If the question doesn’t apply to you or your investigation use N/A.
Your First and Last Name:
First Name
Last Name
Current address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone #
-
Area Code
Phone Number
Your Email
example@example.com
Do you or the subject have a restraining order/court order/order of protection against you?
Are you or the subject on probation?
Do you or the subject have an attorney retained?
What type of investigation do you want?
Alimony
Asset Search
Backgound
Child Custody
Criminal
Expert Witness Testimony
Infidelity
Interview/Locate Witnesses
Liability
Missing Person
SIU Investigation
Skip Trace
Surveillance
Under Cover
TSCM(Electronic Bug Sweep)
Workers' Comp
Other
Other
Person under investigation-Full Name
Person under investigation-Date of Birth
Relationship between yourself and the subject:
Are you planning on contacting the subject under investigation?
Matrimonial/ Infidelity Surveillance to be conducted on:
N/A
Husband
Boyfriend
Teenager/Child
Wife
Girlfriend
Sibling
other
Which signs do you see:
N/A
Working a lot of overtime
Excessive use of the internet
Additional mileage on the car
Hanging out with new friends
Smells of perfume or alcohol
Hiding the phone/cell bill
Personal purchase of an extra cell phone
No longer interested in sex
No longer wearing a wedding band
Saying "I need space"
Please Explain:(Note: the person being named is "The Subject.")
Number of Years Together:
Number of Children:
Subject's home address if known:
Subject's type/Place of employment and address if known:
Do you or the subject have a criminal record? Do you or the subject own or carry any weapons?
Possible suspect's information:(Note: Suspect is the person that the subject is having an affair with)
Known vehicle the subject utilizes
Briefly, tell us your story.
What is your intent with the information the Investigation will provide?
If we provide the evidence/proof you need, will you:
Leave them and get a divorce
Go for therapy together
Separate
Use for legal action
other/I do not know
What is your investigation budget to obtain the information that you are requesting?
$750-$1500
$1500-$5000
$5001 & Up
Where did you hear about us?
Google
Referral from a friend or attorney
Newspaper/ Magazine/Mailing
Television
Radio
Other
What method did you use to find us
Desktop
Laptop
Phone
Referral
I have read all of the above and filled out all the information to the best of my knowledge. I the under signed also promise not to use any information obtained by Larkins Investigations in any way that would be considered unlawful.
Signature:(Please Type Your Name & Date)
My Products
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Investigative retainer
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2,500.00
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