Private investigators detectives in Buffalo New York NY do background checks, investigate thefts, fraud, claims. Expert surveillance and evidence collection.
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Philip D. Smith & Associates
    Investigative Request Form

    This Information Will Remain Confidential.

An Investigator will call to confirm the
assignment within 48 hours of being submitted.
  Surveillance    Activity Check    Record Check   
Other:   PDS File#:

  Today's Date:
  Completion Deadline:
  Trial/Hearing Date:

  Subject's
Name/Case:
  DOB:    SS#:
  Current Address:
Phone:
  Previous Address:
Phone:
  Race:    Sex:    Height:
  Weight:    Hair:    Build:
  Married:    Spouse's Name:
  Children:

  Type of Claim: Compensation

Liability

Verification

Other:
  Alleged Injury:
Date of Loss:
  Alleged Physical
Restrictions:
  Alleged Peculiarities:
(Cane, Limp, Etc.)
  Special Interests:
  Special
Instructions:


  Client:
  Company:
  Address:
  Phone:    Fax:
  E-Mail:    File #:
  Budget/Time Allocated:
   
 
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