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Private
Eyes
Looking Out For You
Information Request Form
What kind of investigation or information do you need?
1)
What is the purpose of this information request or the goal
of this investigation?
2)
Describe the necessary information for this request.
This Question Does Not Apply to Me
3)
Describe the situation, listing the names and identifying
information on all parties?
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4)
If any police reports were filed, what is the location and
case number of the report?
This Question Does Not Apply to Me
5)
What do you want your investigator to do for you in this
matter?
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6)
How soon must this investigation be completed?
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7)
What is the name of the attorney, if you have one, who
is representing you in this matter?
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8)
Are there any special circumstances that you are aware
of in this matter?
This Question Does Not Apply to Me
Name:
Email Address:
Company:
Street Address:
City:
State or Province:
ZIP/Postal Code:
Country:
Phone Number:
Pager Number:
Fax Number:
An Investigator at Private
Eyes
will be reviewing the information that you have submitted and evaluating the case for investigative purposes. If it appears that we will be able assist you in this matter, we will develop an investigation plan and cost estimate for your approval. There is
NO
fee for this service. You will then be contacted by one of our investigators who will be handling the research on your case.
Fees for services rendered are based on time and expenses. Please select one of the following payment methods:
Payment Method:
Credit Card
Check
On Account
I have an account with Private Eyes and want to
be billed for these services.
I would like to open a direct billing account with
Private Eyes.
If the above terms are agreeable to you,please provide the necessary credit card information below so that you may be billed for the information you have ordered. Information requests will be immediately processed, and you will be contacted within 5 business days concerning the status of any investigation evaluation request.
Card:
Amex
Mastercard
Visa
Credit Card Number:
Name On Card:
Expiration Date:
CVV2 Number:
All of the information submitted in this request is confidential and will only be released to our client, unless we are we are authorized in writing to release the information to other persons.