Submit a Case

Refer your issue to our investigative team

Thank you for providing information about your business or personal matter. Case-Closed Investigations will review this form and contact you with any additional questions or suggestions we may have.

Step 1 of 12

Client Information

Name(Required)

First Last

Company Name

Best Email Address(Required)

This email address will be used to correspond with you. Please enter an email address that you consider secure and appropriate for private, discrete conversations.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

This is the primary phone number where we will attempt to reach you. Please enter a phone number that you consider secure and appropriate for private, discrete conversations.

Addl. Phone 1

TYPE

HOME

WORK

CELL

Addl. Phone 2

TYPE

HOME

WORK

CELL

What does this matter concern?(Required)

Domestic or Family Matter

Insurance or Corporate Matter

How did you find Case-Closed?

Internet Search

Referral

Other

Where did you search?

Google

Bing

Other

Please tell us where you searched

Who can we thank for the referral?

Please tell us how you found Case-Closed

As our client, please describe your main objective in this case. What are your suspicions?(Required)

Service Information

What type of service are you requesting?(Required)

Background Investigation

Surveillance

Skip Tracing

GPS Tracking

Other

What is your budget or allotted number of days?(Required)

Do you require a hard copy report?(Required)

Yes

Claimant Details

Claimant Name(Required)

First Middle Last Suffix

Date of Birth(Required)

Social Security Number(Required)

Claimant's Height, Weight, Race, Hair Color(Required)

Claimant Address(Required)

Street Address Address Line 2 City State ZIP Code

Spouse Name

Children?

Yes

Prior Surveillance?(Required)

Yes

Previous Report?(Required)

Yes

Represented?(Required)

Yes

Attorney Name

Claimant Background Information

Is the claimant currently working?(Required)

Yes

Please note the location, days, hours and type of work.

Is the claimant currently receiving payments?(Required)

Yes

Please indicate where payments are being sent.

Street Address Address Line 2 City State ZIP Code

Medical Information?

Need to send medical infomation? After submitting this form, please contact a member of our team for instructions.

Insured Information

Okay to contact insured?(Required)

Yes

Name of Insured

Name of Insured Contact

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Information

Additional Notes

Subject Information

Subject's Name(Required)

First Middle Last Suffix

Subject's Address(Required)

Street Address Address Line 2 City State ZIP Code

Does the subject have? Check all that apply

Doorbell Camera

Dogs

Firearms

Outdoor Video Cameras

Date of Birth

Height & Weight

Drivers License Number

Social Security Number

Subject's Primary Phone(Required)

This is the subject’s primary phone number, the number that they are most likely to answer.

Addl. Phone 1

TYPE

HOME

WORK

CELL

Addl. Phone 2

TYPE

HOME

WORK

CELL

Features (beard? tattoos? scars? eyeglasses?)

Subject's Normal Dress (work uniform? t-shirt & jeans? business suit?)

Subject Place of Employment

Hours (start/end time)

Duties

Subject's known activities

Subject Vehicle Information

Vehicle 1

Make

Model

Year

Color

Tag #

Registered to

Vehicle 2

Make

Model

Year

Color

Tag #

Registered to

Second Subject Information

Subject's Name

First Middle Last Suffix

Subject's Address

Street Address Address Line 2 City State ZIP Code

Does the subject have? Check all that apply

Doorbell Camera

Dogs

Firearms

Outdoor Video Cameras

Date of Birth

Height & Weight

Drivers License Number

Social Security Number

Subject's Primary Phone

This is the subject’s primary phone number, the number that they are most likely to answer.

Addl. Phone 1

TYPE

HOME

WORK

CELL

Addl. Phone 2

TYPE

HOME

WORK

CELL

Features (beard? tattoos? scars? eyeglasses?)

Subject's Normal Dress (work uniform? t-shirt & jeans? business suit?)

Subject Place of Employment

Hours (start/end time)

Duties

Subject's known activities

Subject 2 Vehicle Information

Vehicle 1

Make

Model

Color

Year

Tag #

Registered to

Vehicle 2

Make

Model

Color

Year

Tag #

Registered to

Additional information or instructions

DISCLAIMER

I have read and agree to the disclaimer

The information you provide to us through our Website will be used so that we may respond to your request and inquiries. We may also use the information you provide to us to communicate with you in the future. This form does not establish any privileged relationship with Case-Closed Investigations, Inc.

When you send us an electronic message, you may be sending personal information. In these cases, we may retain the information not only to respond to your request, but also as a record of correspondence. Messages sent via email can be intercepted. If you are concerned about sending your information to us via the Internet DO NOT click the “Send” button, you always have the option of using phone or regular mail to contact us.

Comments

This field is for validation purposes and should be left unchanged.

Client Information

Service Information

Claimant Details

Claimant Background Information

Medical Information?

Insured Information

Additional Information

Subject Information

Subject Vehicle Information

Second Subject Information

Subject 2 Vehicle Information

Better decisions based on solid information and available evidence are possible.