Arkansas Investigations - We Find Answers

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Surveillance Detail Request

You may call us at 1-501-605-0360 (24 hour line) and someone will pick up the phone or we will call you back within 2 hours, GUARANTEED!

You may also use this form. Please fill in this form as completely as you can.

Please insure the infomration is as thorough as possible. We will need additional information from you but this document will address most of the questions we need in order to start your case.

Enter the name of the person to be surveilled:

What is this person's date of birth?:

What is his/her Social Security Number?:

What is their residence address?:

What is their phone number?:

Name of spouse or significant-other?:

What is the race of the person to be surveilled?:

What is their height?:

What is their weight?:

What is their hair color?:

Is a photo of this person available? Please email to info@arkansas-investigations.com:

Describe any facial hair (short beard, long beard, mushtache, etc):

Does this person wear glasses?:

What make/model/year/color vehicle does this person drive?:

What is the license number of that vehicle?:

Does he/she have any unique characteristics or habits?:

What is your claim number?:

What was the date of injury?:

Are there any other prior claims?:

Current claimed disability and restrictions (please send detailed record to info@arkansas-investigations.com or fax to 866-371-2603):

Current Medical Provider(name and location):

Where type of work does this person do?:

Employer's address:

What are his/her work hours?:

What is the name of the subject's attorney?:

Service requested (3-day, 5-day, 7-day, other). Please review our Package Surveillance Rate Information sheet. Click here to obtain a copy.

What is your name and position?:

Your telephone number?:

Your eMail address?:

Any additional enformation that will lead to a successful case?:

PLEASE note the following:

We are very concerned about being discreet and maintaining your privacy.

Please complete the following information if it applies to your situation:

- How would you like for us to contact you about this matter? (telephone, email, postal mail, etc)

- The best time to contact you is:

- Who else may we talk to about this matter?

- Other contact instructions?:

- One last question: How did you hear about us?

If you do not receive a response to this form from us within 18 hours, PLEASE call us at 501-605-0360. Although we deal with technology all the time, we all know that eMail sometimes goes into the 'Great eMail File in the Sky'. Your questions are very important to us and we don't want to miss them.

I have read and agree to the terms and rates for surveillance packages. My submission indicates an agreement to pay as indicated. Please make a selection.