Intake – Affirm Investigative Services

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Affirm Investigative Services

Client Intake Form

Our intake form serves as a method for our investigators to acquire the information we need to conduct our investigative services as efficiently as possible . Please fill this form out to the best of your ability providing only true and accurate information. If more information is required during our investigation, your assigned investigator will contact you directly.

We take your privacy very seriously, all information shared with us by our client will be kept 100% confidential and secure. Our investigators will never share any information about you or your case with anyone under any circumstances. In the event you need an update, we will confirm your identity prior to discussing any private matters.

Client Information

Client Full Name *

Date of Intake *

Client Address *

Address 2

Client City / State *

Client Employer *

Date of Birth *

Relation to Subject

Client Email *

Client Home Number *

Client Cell Phone *

Investigative Service Requested *

Due Date Request:

Subject Information

Subject Name *

Subject Email

Subject Phone Number

Subject Current / Last Known Address *

Subject Previous Address

Subject SSN

Subject Marital Status

Subject Date of Birth

Subject Driver License Number

Subject Current / Last Employment

Subject Descritpion ( DOB / Gender / Race / Height / Weigh )

Subject Known Social Media Accounts

Subject Vehicle Information ( Year / Make / Model / Color / Plate# and State)

Additional Information – Please include information associated to: Family members, known associates, friends, prior employment, unique characteristics (tattoos, scars, etc…), nicknames, aliases, locations frequented, hobbies, etc…

Additional Information

Agreement of Understanding – By submitting this form, I certify and affirm that the information supplied to Affirm Investigative Services is true and accurate to the best of my knowledge. I understand that by knowingly providing false or misleading information may result in my case being denied or discontinued upon discovery of said information.

If you agree with the above statement, please confirm that you understand by typing your full name in the space provided below.

Full Name *

Thank You For ChoosingAffirm Investigative Services

Client Intake Form

Thank You For Choosing
Affirm Investigative Services