TAGw - Investigative Services E-Form

Please note that all investigations will be performed in compliance with an Investigative Agreement. After you send this E-Form, an investigator will contact you to discuss the Agreement.

You will receive an email confirmation once you successfully complete this E-Form. A confirmation page will also appear, which you should print for your records.

If this form cannot be used because of the nature of the case, please contact us at (773)353-0074 and press 1.

The Atlantis Group Worldwide, Inc.
5440 N. Cumberland Ave., Suite 230
Chicago, IL 60656
Fax: (773) 353-0072

Questionnaire Form

Type:
Surveillance	GPS Track	Background Investigation
Locate	Process Service	Computer Forensics
Other:

Claimant Information:
Last Name:	First Name:	Middle:
Date of Birth:	Home Phone:	Cell:
Gender:	Race: Height: Weight:
Social Security Number: (i.e. xxx-xx-xxxx)
Eyeglasses: Hair Length: Hair Color: Eye Color:
Distinguishing Physical Traits:
Address:	City: State: Zip:
Occupation:	Marital Status:
Job Location:	Location Details:
Spouse/Partner'sName:
Dependants’ Name and Ages:
Behavioral Patterns (always stops at the same place for coffee, restaurants/bars/gyms frequented, habits, hobbies, friends, etc...):
Description of claimant vehicles:
Have previous investigations been conducted?
If Yes, list dates/agencies:
Referral Date: (i.e. xx/xx/xx)	Client needs report by: (i.e. xx/xx/xx)
Photo Upload:

Special instructions and/or comments:

Requester Information:
Last Name: First Name:
Phone: Fax:
Company Name:
Address (No PO Boxes):		Unit/Apt./FloorSuite:
City: State: Zip:
E-Mail:

How would you like to receive the report?

Toll Free: (866) 696-9443
Licensed and Fully Insured. Illinois Licenses 117001393, 122001060

The Atlantis Group Worldwide Investigative Services E-Form

The Atlantis Group Worldwide
Investigative Services E-Form