Private Investigators Calgary

Patrick Lam

Director of Investigations

Phone: 403.217.2137

Toll Free: 1.877.417.2137

Fax: 1.866.696.9522

MEMBERSHIP

Alberta Association
of Private Investigators

LEGAL INFORMATION

Forms for our
Insurance Clients:

Client Information

*Date:	If using numbers, please provide in format MM/DD/YY
*Requested by:	*File No:	*Budget (+ GST)
*Phone No: & ext	*Email:	Cell No:
*Date of Loss:	*Insured:
* indicates required field Email a copy to myself for my files

Subject Information

Name:	Male Female	Date of Birth:
Address:		Driver's License #
Home Phone:	Cell Phone:	Marital Status
Please list all known family members currently living at the same residence:


Physical Description: height, weight, hair color, hair length, glasses, tattoos and any distinguishing features, etc


Vehicle(s): please include Make, Model, Colour, and any distinguishing features or known modifications:
Primary Vehicle		License Plate:
Other Vehicle(s)

Employment:		Employment Phone:
Employment Title/Position:		Direct Line Phone Number:

Injuries:		Legal Counsel:
Treatment Provider(s):
Upcoming Appointments:

Request: (Please check one or both as required)

Video Surveilliance:				Background Investigations: (specify below)
If applicable, please provide date(s) and name of company(s) of previous surveillance investigation(s) on this subject.

Would you like a personal call back from a Private Investigator?

Comments or Special Instructions

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