Client’s Full name * Company Name Client’s Address * Client’s Apt# / Suite# Client’s City * Client’s State * Client’s zip Code * Client’s Email * Client’s Preferred Contact Number *
Subject’s Full Name * Subject’s Nick Names Subject’s DOB / Age *
Subjects Social Security Number (only if we need to locate them)
Subjects Social Security Number
What is your relationship to the subject of the Investigation. Example: spouse, boyfriend, girlfriend, ex-spouse, brother, sister, mother, father, friend?
Relationship to Subject *
Does the subject have an injunction for protection against domestic violence placed against you, (The Client) or anyone you are acting on behalf of?
Type Yes or No *
Subject’s full address. Include street number, street name, apt # if applicable, city, state and zip code. If current address is unknown, enter last known address.
List all of the subject’s known contact information. Example: home phone, cell phone, work phone and email address.
Age Race Sex Approximate Height Approximate Weight Hair Color
Other characteristics, such as hair style, facial hair, tattoos, scars, eye glasses, smoker, drinker, etc.
Subjects current occupation. If unknown what type of work have they done previously?
Subject’s employer. List company name, address and phone number:
Subject’s vehicles. List color, year, make, model, tag # and state of each vehicle is registered in.
Places the subject frequents, such as bars, restaurants, parks, gyms, motels and night clubs.
Select one of the following from the drop down menu below
What is the reason for your investigation request? * What is the reason for your investigation request?* Infidelity / Cheating Spouse Child Custody Alimony Reduction Person Locate Child Support Background Investigation Insurance Fraud Other - Please describe
Please provide any additional information about your case that would be helpful.
What type of outcome would you like to acomplish with this investigation?
For infidelity cases, supply as much information as you can about any other person you believe your spouse or significant other may be involved with.
For child custody, child support and alimony reduction cases, please supply the names and descriptions of all children involved.
Certification and Affidavit: By Submitting this form, I hereby certify and affirm that the information supplied above is true and accurate to the best of my knowledge at this time. I understand that knowingly supplying false or misleading information that may compromise the ethical and / or legal obligations of Advanced Investigative Group, Inc.may result in my case being rejected or discontinued at any time.
Read the paragraph above, and then confirm that you understand and agree by typing your full name in the space below:
Full Name *
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