Name: Prime Private Investigators
Address: Calgary Alberta Canada, AB
Telephone: 403-217-2137

Surveillance Investigation

Fields marked with an * are required

Client Information
Full Name*
Company
Budget (+ GST)*
File Number
Phone*
Email*
Date of Loss
YYYY slash MM slash DD
Insured
URL for File Share (COOP)
INVESTIGATION Details
Subject First Name*
Subject Last Name*
Sex*
Date of Birth
YYYY slash MM slash DD
Address
City*
Telephone No. (home / landline)
Cell No.
Driver's License
Marital Status
Family
Family members living at the same residence.
Physical Description of Subject
height, weight, hair color, hair length, glasses, tattoos and any distinguishing features, etc
Do you have a Police Report?*
Primary Vehicle

please include Make, Model, Colour, and any distinguishing features or known modifications
License Plate
Other Vehicles

please include Make, Model, Colour, and any distinguishing features or known modifications:
Employment Title / Position
Employment / Company
Employment Phone
Direct Line Phone
Injuries
Legal Counsel
Treatment Provider(s)
Upcoming Appointments
Request: please check the box(es) as required.*
- Video Surveillance
- Background Investigations
- OSINT Investigation
Specific Instructions or Objectives*
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