Intake Form

Thanks for your interest in our services

Please complete the form below with as much information as possible. Your intel helps improve our success rate.

START A NEW CASE

You are submitting a request to begin a new investigation with Covert Investigative Services (CIS). Please complete the form below and thank you for your business!

CLIENT INFORMATION


Client Name




SUBJECT INFORMATION


Subject Name

Date of Loss

Claim Number or File Number
Subject Sex Subject Date of Birth



Subject SSN
Subject Phone

CASE INSTRUCTIONS


Specific Instructions / Objective

Area(s) of Injury

Restrictions
Primary Area of Interest
Timeframe