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PRIVATE INVESTIGATION ASSIGNMENT FORM

 Enter Client information & what you know about the person or business being investigated and press the submit button below

NOTE: Only Attorneys , Insurance Clients, Corporate Clients and Licensed Private Investigators may be granted a Payment Period.

Other Clients must contact to  arrange "PRE-PAYMENT" . All Private Investigation Services are to be pre-paid in advance !

 

CLIENT INFORMATION ( Fields marked with an ( * ) Asterisk are Required )

* Client Name:

E-Mail:

Company Name:
* Billing Address :

* City:

* State:

* Zip:

* Telephone:

Ext.:

Fax:

Your Case / Claim #:

Case Turnaround:

* How Would You Like To Receive The Case Report or Records Searched ? 

If Video Tape is Obtained, how would you like to receive the evidence ?

* Purpose For Request. Be Specific:


INVESTIGATION ASSIGNMENT DETAILS

Select Legal Services :

* Initial Budget:

Select Insurance Services :

OR $:

Record Searches:

Consecutive Days:

Other Services:

Specific Days ?:

Previous Investigations Performed ?:


SUBJECTS INFORMATION

A.K.A (Alias)

Business Phone Number(s)

Social Security #:

D.O.B (M/D/Y)

Drivers Lic # and State Issued:

Occupation / Place of Employment:

Address:

Vehicle Descriptions :

Marital Status:

Spouse's Name:

Children:

How Many ?:

Is Subject Suspicious ?:

Does Subject have history of violent behavior ?: 

Is Subject Attorney Represented ?:
If so, by whom?:

Photo Available For Subject ?:

Other Information Known:


SUBJECT PHYSICAL DESCRIPTION

Sex:

Race:

Place of Birth:

Height:

Weight:

Build:

Hair Color:

Hair Length:

Facial Hair:

Glasses:

Eye Color:

Skin Complexion:

Other Descriptions:


CLAIM INFORMATION ( If Applicable )

Type of Claim:

Insured:

Date of Loss / Injury:

May We Contact Insured ?:

Tel. & Contact at Insured:

Loss / Injury Description:

Physical limitations / Restrictions:

Upcoming Medical Appointments ?:

Dr. Information:

Therapy Name/ Location / Date:


COURT HOUSE RECORDS RETRIEVAL ( If Applicable )

Enter Courthouse Records to Retrieve:

Case / Docket #(s) :

Case Name(s) :

State:

County:

Court:

Certified Copies:

Yes

No

Plain Copies:

Yes No

Face Pages Only:

Yes No

Full Copies:

Yes No

Call with Update:

Yes No

Expedite:

Yes No

ADDITIONAL INFORMATION OR INSTRUCTIONS


Please read the terms and conditions outlined herein. By agreeing below you acknowledge that you understand the search description(s) and parameters.

 

 

 

 

 

 

Miami Private Investigators servicing undercover services in all South Florida and nationwide. Hire a Florida private investigator or computer forensic examiner specializing in the following: marital infidelity surveillance, Florida workers compensation, recorded statement, cellular phone searches or  Florida private investigations. A Florida private detective or our Fort Lauderdale Private Investigators can help with white collar crime, intellectual property infringement, forensic computer service,  free people search, tscm,  electronic counter measures, workplace surveillance, Florida investigations, defective products,  nursing home abuse, Miami de-bugging, negligence & injuries,  background checks or employment screening and marital infidelity investigations. Find Miami Private Investigators for criminal record search, Mystery Shoppers / Integrity shopping and more. Our PI's investigate for spouses, businesses, agencies, plaintiff attorney, defense lawyer and fraudulent claims adjusters. Hire Florida Security consultants at our Miami Detective Agency for Florida Private Investigation Services. Contrate un Investigador Privado Miami
 

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