Investigation Request Form - Private Detective Services

To Our Clients

Please read carefully.

We do not want important information to be left out when you send us this Investigative Request Form, so we ask that you fill in every text field before you submit it to us.

If you do not type investigative information into a line, please indicate to us that you have seen each line by typing in any keyboard character (s), such as: n/a, xx, or — as a fill-in for the required text.

We hope this is not inconvenient. We want to give you the best possible service.

Thank you.

Type of Service

Services Needed*

Reference / Claim Number

Budget*

Your Contact Information

Please enter your contact information.

First Name*

Last Name*

Email*

Phone*

Address

Street Address City State / Province / Region ZIP / Postal Code

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Subject Section

Information About the Subject

Please complete subject information as completely as possible. Results are based on information provided.

Subject's Name*

Subject's AKAs

Subject's Phone

Subject's Email

Subject's Race

Subject's Gender*

Male

Female

Subject's Height

Subject's Weight

Subject's Eye Color

Subject's Hair Color

Subject's Date of Birth

Subject's Social Security Number

Subject's Driver's License Number

Subject's Employer

Subject's Address*

Subject's Business Information

Please complete business information as completely as possible. Results are based on information provided.

Subject's Business Name

Subject's Business Tax ID Number

Subject's Business Type

Corporation

Partnership

DBA

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Spouse Section

Information About Your Spouse

Please complete spouse information as completely as possible. Results are based on information provided.

Spouse's Name

Spouse's Approximate Age

Spouse's Date of Birth

Spouse's Social Security Number

Spouse's Driver's License Number

Spouse's Employer

Spouse's Address

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Vehicle Information

Please provide any vehicle information available. Results are based on information provided.

Vehicle Type

VIN Number

Vehicle Year

License Plate Number

Vehicle Make

Vehicle Model

Vehicle Description

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Additional Info

Additional Information

Please provide any additional information available. Results are based on information provided.

Case Title

Claim/File No.

Date of Loss

Special Instructions*

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PDF Document Uploader

Standard PDF Document Uploader

Send us your electronic documents (Maximum File Size: 25MB)

Upload PDF

Drop files here or

Accepted file types: pdf, Max. file size: 25 MB.

Large PDF Document Uploader

Send us your electronic documents (Maximum File Size: 64MB)

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Accepted file types: pdf, Max. file size: 64 MB.

Client Agreement & Payment Authorization

To establish an account, USA Private Detectives requires payment authorization by credit card or debit card. If payment authorization is not provided and approved, delays in opening your USA Private Detectives account will occur and you will be notified by our New Accounts Department.

Credit Card Number*

Card Type*

Expiration Month*

Expiration Year*

Billing Zip*

Card Security Code*

Client Agreement & Payment Authorization*

I have read, understand and agree to the terms of this document relating to the Investigation Request.

By providing payment authorization, You and your Firm/Company understand and agree to the following USA Private Detectives payment terms, conditions, our privacy policy, and our terms and conditions posted on the web site.

1) You are authorizing automatic payments to USA Private Detectives by charging this credit card, debit card, or ACH transaction for current, past due, and/or future costs as charged and invoiced by USA Private Detectives for support services: court services (including eFilings), process service, private investigator services, deposition officer duty, subpoena preparation, on-site/off-site records production, on-site/off-site photocopying, digital scanning or imaging, and messenger services.

2) For credit card or debit card authorizations, you are authorizing a $1.00 pre-authorization to be approved to your credit or debit card. Pre-authorization is not a charge, but a temporary hold, and will disappear based on your financial institution's policy; USA Private Detectives does not control when hold will be released. If credit card or debit card pre-authorization is not approved, delays in opening your USA Private Detectives account will occur and you will be notified by our New Accounts Department, during normal business hours, 9:00am to 5:00pm Monday thru Friday.

3) The Invoice will be charged as when the assignment is received, daily, or weekly and automatically to the provided credit card, debit card, or ACH transaction as directed by the company. Our invoice will detail the amounts charged to card or ACH transaction and be sent by email to the responsible party.

4) Dispute of any charges or invoice amounts must be submitted in writing within 7 days of date of invoice date by email to info@1privateinvestigator.com or by US Mail. Otherwise, client agrees the charges are valid, non disputable and will not stop payment on a check, or dispute the charge with their credit card company.

5) Charges per job include our rate and any other additional item required for completion including, but not limited to: court time, research time, wait time, fuel surcharge, parking, copies (.35 cents per page), scanning/doc prep, special handling, advanced fees, advanced fees courtesy charge, mandated Court/EFM fees, overnight delivery. Advanced fees that may be required are mandated by court, city, county, state, or federal government statute; some advanced fees will require immediate reimbursement to USA Private Detectives. Advanced fees will be billed as incurred.There will be an advance fee charge of 10% to cover fees we pay. If the invoice is paid by credit card , there will be an additional 3% fee of the total invoice to process payment by a credit card.

6) All charges paid by credit or debit card (rather than paid by cash, check, or ACH transaction), as instructed by client, may be charged higher rates not exceed 10% to cover credit card merchant fees. Rates may change, any time, without notice.

7) All credit card transactions will carry an extra three percent (3%) fee to cover bank credit card processing fees. By paying this invoice, you acknowledge that you have reviewed and agreed to the terms and conditions on our website(s), including without limitation TheGlobalProcessServer.com. All sales are final and non-refundable. There is no guarantee of success. If you place an order and cancel the request there are no refunds and the full fee is paid to the company.

8) Process service will charge one fee per address, and per named defendant/subject. Additional attempts at other address locations are charged separately. Service of additional defendants at the same address are billed separately. For the fee paid, we include up to three attempts, unless other arrangements have been with this office in writing to info@1privateinvestigator.com. We will provide a proof of service or non service declaration to the email you provided, mail a copy by US mail to the address on file, or if you have an account the proof of service or non service will be posted in your portal. We do not file your proof of service or non service declaration unless you request this in the original order, pay the additional fee or make a subsequent request in writing to info@1privateinvestigator.com and the additional service is prepaid.

We are paid in full regardless of the results of the investigation or service of process. There are no guarantees or refunds.

9) We bill and charge the credit card on file for all fees and costs before services are rendered unless you have an open, current, and verified account.

Authorized By*

Authorized Date*

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Referrer Form

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

By signing or submitting this form, you agree to the terms and conditions and privacy policy of this website.

Call (833) 213-2013

The accuracy of data submitted by the requestor will directly determine the accuracy of results obtained. While the information we furnish is from reliable sources, its accuracy is not guaranteed. Use of available data may be affected by the Fair Credit Reporting Act ("FCRA"), the Fair Debt Collection Practices Act, the Graham-Leach-Bliley Act, and/or federal and state privacy laws. Our investigative reports are prepared by USA Private Detectives, at the specific instance and request of our clients. Clients agree by accepting our reports that reports and information received from USA Private Detectives, are strictly confidential, and are intended solely for our client's sole private, exclusive use. Any other use, communication, publication or reproduction of our reports, or any portion thereof, without the written consent of USA Private Detectives, is strictly forbidden. By ordering and accepting delivery of this report, our client agrees to indemnify USA Private Detectives, against any damages or claims resulting from any such unauthorized use. Our reports are not a recommendation, endorsement or approval of any kind, with respect to any specific transaction, decision or evaluation, and should not be relied on as such under any circumstances. All information contained in our reports is confidential and proprietary, i.e., our work product, hence our property as provider of our reports.

No warranty or guarantee of a particular outcome, result or recovery of information is promised or implied by USA Private Detectives, or by the materials presented on USAprivatedetectives.com. USA Private Detectives agrees to work to achieve the goals of any client work or engagement with aggressive, professional methods, within the bounds of the law.