Evidence Video Investigations, Inc.

Private Investigator Florida
"Surveillance Video is Critical to Your Case!"

Request Investigative Svcs

*Case Type: *Your First & Lase Name (Client) Company (If Applicable) *Billing Address (Street/POBx): *Your City, State, Zip Code County that you live in: *Phone Number(s) to call you (including area code) *Your Email Address: Case Reference (if any) *Where will the actual investigation be conducted *Date you need us to begin your case: *Does your attorney know you are contacting a PI?
Yes  No  I don't have an Attorney
*Use discretion when contacting you?
Yes, we can leave you a voicemail and or email you  No, do not leave voice mails or email you  *What is the best time to contact you? *What type of Investigative Services do you need? (CHECK ALL THAT APPLY)
Surveillance  General Investigation  Consulting  Undercover Operations  Pre-marital/Relationship
Infidelity/Cheating  Family/Child Custody  Missing Person/Locate  Witness Locate  Locate/Skiptrace
Background/Pre-Employ  Background/Business  Background/Asset  Court Records Search  Criminal Defense  Fraud/Theft  Interview/Statement  Video Depositions  Crime Scene Photography  Courtroom Presentation  Re-enactments/Documentary/Day-in-a-Life  Covert Installation/Monitoring  Threat Assessment
Executive Protection/Bodyguard
*Who will the surveillance/investigation be conducted on: (This will be the Subject of Investigation)
Husband  Wife  Girlfriend  Boyfriend  Teenager/Child  Injured Worker  Disgruntled Employee
Other threat  *Investigation Assignment Details (give us a brief summary of your problem)
*What is your investigative budget?
$250-$500  $500-$750  $750-$1500  $1500-$3000  $3000-$5000  Whatever it takes!  *Do you have access to Paypal? (Please note: never open emails from paypal unless you know for sure your name is on the email and do not click within email if you are suspicious)
Yes  No  I will pay by cash, check or money order  *How did you hear about us? *Your Relation to Subject *Subjects First Name: (Note: The person being investigated is known as the subject) *Last Name Known Alias and/or Nickname *Role of Subject/Alleged Complaint: (Click all that apply)
Applicant/Employee  Witness  Suspect  Spouse  Boyfriend/Girlfriend  other
Insurance Fraud/Subrogation  Cheating Spouse  Employee Theft/Threat  Missing  *Date of Birth (DOB) *Last Known Address (Street, City, State) *Subject Email: *Subject Telephone and/or Cellphone Number: Social Security # Birthplace *Occupation Workplace Name, Address, Locations Description: (Race, Height, Weight, Hair Color, Eye Color) Distinguishing Features: (Scars, Tattoos, Facial Hair, Piercing, Glasses, Smoker?) Vehicle: (Make, Model, Color, License Plates) *Usual Movement/Routine:
*Known Immediate Plans: Hangouts, Friends, Hobbies, etc
Please explain why you are hiring a private investigator
Timeline: What hours do you suggest we conduct this investigation?) If your case involves any Child Custody Issues, please check all the following that apply:
I have seen bruises or other physical signs of abuse  The child involved is having nightmares  The family is moving around a lot  The Child is not doing well in school  You are being denied visitations  You have not received child support  There may be excessive alcohol use/or drug use around the child  The child's basic needs (food, shelter, clothing) are not being met  You are unsure what is going on, but feel something just isn't quite right!  If your case involves any Cheating Spouse, which signs do you see:
Working a lot of overtime  Additional mileage on vehicle odometer  Smell of perfume or alcohol  New purchase of cell/pager  No longer wearing a wedding ring  Excessive use of the internet  Hanging out with new friends  Hiding the phone/cell bill  No longer interested in sex  Saying "I need space"  If we can provide you with proof that your spouse/the subject is having an affair are you going to:
Leave them and get a divorce  Go for therapy together  Separate  I don't know  If the subject is missing, please check below and we will send you another form.
Yes, I think the person is missing or has skipped  No, I know where the person is located.  CERTIFICATION and AFFIDAVIT: Submitting this form does not constitute a contract or agreement that Evidence Video Investigations, Inc. will perform any services on your behalf. Once we receive your information, we will review your case and an agent will contact you by the method you have chosen above to discuss your options. All information supplied is kept strictly confidential. A case is considered accepted when an Investigative Services Agreement and Retainer Agreement titled Contract of Retainer Services Agreement has been fully executed and submitted to Evidence Video Investigations, Inc. which we will forward to you for signing. By submitting this online 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 further represent and affirm that I am authorized to order and financially contract for this assignment. I understand that my knowingly supplying false or misleading information may result in my case being rejected. I will forfeit any and all funds that may be paid to the Agency pertaining to this case if any information is discovered to be false, misleading, or compromising the ethical and/or legal obligations of the agency. DISCLAIMER: �A Private Investigator is NOT an Attorney and cannot give legal advice. Some investigative services will not be provided unless you obtain legal counsel."
*Read the paragraph above, then confirm you understand and agree:
Yes

The information contained in this request is privileged information and will be held in the strictest confidence.
Certification and Affidavit: By submitting this online form, you (the Client) hereby certifies and affirms that the information supplied above is true and accurate to the best of your knowledge at this time. You further represent and affirm that you are authorized to order and financially contract for this assignment. You understand that your knowingly supplying false or misleading information may result in your case being rejected. You will forfeit any and all funds that may be paid to the Agency pertaining to this case if any information is discovered to be false, misleading, or compromising the ethical and/or legal obligations of the agency.

DISCLAIMER: �A Private Investigator is NOT an Attorney and cannot give legal advice. Some investigative services will not be provided unless you obtain legal counsel." #A2400305
Once you agree, and have read and agree to the conditions stated above *, submit this information.