Anchor Investigations, Client Case Intake Form

Client Case Intake Form - Investigations

This "Intake Form" is utilized by our agency to examine your case. We then design an investigation plan. This plan provides a strategy, which we believe, is necessary to effectively complete your assignment. First, our agents will conduct the background research. Second, we incorporations your objectives. Third, we coordination our efforts with your attorney. All this is completed before an investigator is sent to the site. ** Note: not all investigations require coordination with an attorney.

E-mail Address: *
Client Name:
Client Address:
Clients City:
Clients State:
Clients Telephone:
Clients Secure Telephone Number
Client - Please Date This Agreement
Investigation Approx. Start Date:
Investigation Approx. End Date:
Type Of Investigation:
Subject Name:
Subject DOB:
Subject SSN:
Subject Address:
Subject City:
Subject State:
Subject Telephone:
Subject Email:
Subject Vehicle Year-Make-Model
Subject Vehicle Tag Number & State:
Subjects Employer, Address, City, State
Clients Case Objective 1.
Clients Case Objective 2.
Clients Case Objective 3.
Clients Case Objective 4.
Investigation Agreement	This Letter of Agreement is made this date between Anchor Investigations and The Above Stated Client. - The client hereby will employ Anchor Investigations, its agents and employees, for the agreed consideration of the PER STATED DAY /Case Fees. (Florida Residence Only – Will Be Assessed A Sales Tax Of .06% to the above agreed investigation fees. 1. A MINIMUM of three (3) days is required for surveillance investigation. No investigative duties will be initiated until Anchor Investigations d.b.a. Civil, Corporate Florida Investigators receives your CASE PAYMENT and a signed copy or Indication Of YES - I have Read Agreement. Clients will receive the case evidence and further instructions via Mail, Telephone or Fax Transmission. The taking of depositions and court-ordered testimony shall not be considered part of this investigation. A set rate of $300.00 PER COURT DAY, PER INVESTIGATOR is required and shall be payable in advance before the established deposition date or court date. Upon receipt of the above stated deposition and court fees Anchor Investigations d.b.a. Civil, Corporate Florida Investigators agrees to appear in court and cooperate fully with the client and his/her attorney concerning this evidence. Other justifiable expenses, to include mileage, hotel, travel time, airfares per investigators will be assessed to the client. The client will be informed of these additional expenses before the deposition /court days. 2. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators agrees to prepare a written report, present evidence, sworn statements and all pertinent information for the client in regards to the above stated Investigation, Research or Surveillance. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators shall at all times have the right to refuse to engage in conduct which, in the judgment of its management, is improper, illegal, or involves too great a personal risk to the investigator. 3. CREDIT BACKGROUND, If Required - Request must be accompanied by the special waiver Authorization to Conduct a Financial Background Investigation. The client will release this agency from any responsibility for liability or damages, which may occur as a result of the disclosure of this information. 4. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators has right to refuse any request for work. It is understood, that by submitting this agreement, work request, you (hereafter referred to as the CLIENT) and agree to use this information for legal purposes only and accept all responsibility for its use. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators will not be held responsible for, or liable, directly or indirectly, by any client or parties, your organization, employees or affiliate use of any or all of the information provided by Anchor Investigations d.b.a. Civil, Corporate Florida Investigators to you the CLIENT. The client agrees to indemnify and hold Anchor Investigations d.b.a. Civil, Corporate Florida Investigators harmless for all damages, claims, or losses suffered as a result of claims by third parties relating to client and users use of the data provided by Anchor Investigations d.b.a. Civil, Corporate Florida Investigators. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators shall be indemnified from any and all claims and consequences arising out of found or not found information. 5. If you, your company, organization and your purpose for hiring Anchor Investigations d.b.a. Civil, Corporate Florida Investigators is misrepresented, any misrepresentation of information made to Anchor Investigations d.b.a. Civil, Corporate Florida Investigators and/or withheld by the client that is pertinent to this investigation will render this contract null and void. You the client understand that misrepresentation in this agreement may results in civil and criminal action against you, your organization, employees and affiliates. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators cannot and does not make any guaranties as to the results your investigation. Client bears full legal costs in event of law suit. All case information will be considered PUBLIC INFORMATION in regards to both civil and criminal trial. You also understand that your identity and information provided may be checked before any casework information is submitted/released to you. The use of the information obtained from Anchor Investigations d.b.a. Civil, Corporate Florida Investigators in the course of or planning of stalking, identity theft or fraud is explicitly prohibited and will be reported to the authorities. 6. In the event of default of case payment, this agreement will be placed in the hands of an attorney at law for collection, collection agencies or dispute resolutions process. Upon default of case payment the client will surrender his/her case confidentially and information may be made public. I/We the client agree to pay all cost of collections, including, but not limited to, a reasonable attorneys fee. 7. If necessary, in the course of the clients authorized case work Anchor Investigations d.b.a. Civil, Corporate Florida Investigators may need, require and authorize the use of a CI -Confidential Informants). The client will be informed of this agencies decision to use a Confidential Informant, which may be critical to legally gather information. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators will not manufacture or distribute a false identification to the Confidential Informant. The manufacturing, distribution and possession of false identification is considered a felony. The identity of a Confidential Informant is strictly confidential and will not be released to the client. 7a. Anchor Investigations d.b.a. Civil, Corporate Florida Investigators may or may not release (all) or (in part) this information to the client. But upon this agencies decision to release (all) or (in part) of certain information acquired by the Confidential Informant TO-THE CLIENT, the client is prohibited and may not under any or all circumstances, disseminate, use, sell or trade this information directly or indirectly to inform authorized or unauthorized individual without the expressed permission of Anchor Investigations d.b.a. Civil, Corporate Florida Investigators. 7b. The release of information may include certain dates, time locations or statements gathered by the Confidential Informant which would identify the Confidential Informant to unauthorized parties. In all circumstances Anchor Investigations d.b.a. Civil, Corporate Florida Investigators must be notified by the client if he or she may need to utilize information obtain by Confidential Informant and released by Anchor Investigations d.b.a. Civil, Corporate Florida Investigators. Only under the express permission BY Anchor Investigations d.b.a. Civil, Corporate Florida Investigators can this information obtained by the Confidential Informant be released. 7c. If Anchor Investigations d.b.a. Civil, Corporate Florida Investigators obtains evidence or proof or statement from authorized or unauthorized parties that the client has disseminated, used, sold or traded information obtain by the Confidential Informant, that certain dates, times, locations and or statements are know by other unauthorized individual or parties, the clients surrenders case confidentially and this case information will be placed in the hands of a attorney of law for the collections of damages in the amount of Two Hundred and Fifty Thousand dollars. Any and all attorneys fees required by Anchor Investigations d.b.a. Civil, Corporate Florida Investigators in the collection of this breech of confidentially will be also assessed to the client in addition to the Two Hundred and Fifty Thousand Dollars fee. Client for any reason or under any circumstances will not jeopardize the personal safety and identity of the Confidential Informant. 8. If you agree with the terms of this agreement, please sign this letter and return this original via Mail or Fax to the above stated address or facsimile. UPON RECEIPT OF THIS AGREEMENT, Anchor Investigations d.b.a. Civil, Corporate Florida Investigators will initiate the above stated casework. We cannot, will not begin your casework until this contract agreement is signed and dated and case fees are received and verified. The above arrangements will continue until completion, unless terminated by the client through verbal, telephone or written correspondence. Once the casework is initiated Early Termination of this work agreement by the client will be viewed as completed work. Under no circumstances will client be reimbursed for the minimum day case-fees due to early termination of the agreement. Client may receive, be reimbursed for their case fees /funds due to early termination of this agreement if the clients authorization to terminate this work agreement or case work is received through verbal, telephone or written correspondence to Anchor Investigations d.b.a. Civil, Corporate Florida Investigators BEFORE the initial case work start date authorized by the client.
I Have Read This Agreement *	Yes No


* Required

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