Assign a Case Get The Facts You Need To Make The Right Decisions Confidential Case Request Client's Legal Name Client's Email Address Preferred Contact Method Secondary Contact Method Client Address Company Name Company Address Relationship to the Subject Previous Surveillance Conducted? YesNo Safe Contact Instructions Your Case Number Your Claim Number Date of Loss Insured Subject's Legal Name Subject's Date of Birth Gender Height Weight/Build Subject Description Current Address Previous Known Address Claimed Injuries or Limitations Subject's Phone Number(s) Subject's Social Media History of Violence UnknownYesNo Criminal History UnknownHas a Criminal RecordClean Criminal Record Marital Status Known Family / Co-Habitants Current Employer Previous Employer Subject's Licenses and Accreditations Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Distinguishing Vehicle Features Investigation Objective File Due Date Allocated Budget HST Included? Yes No Specific Dates / Known Appointments Additional Information By submitting this form, the client agrees that they have not purposefully omitted or given false information in an attempt to commence an investigation. There are no legal or ethical restrictions or limitations such as a restraining order, peace bond or protection order with relation to the SUBJECT and the CLIENT or any of the client's associates. Submit Case Request
