Home
INVESTIGATIVE SERVICES
WSIB/WCB Consulting and Advice Program
WEBINARS & WHITEPAPERS
FINGERPRINTING
ABOUT
Recruitment
Book Meeting Online
CLIENT LOGIN
Back
corporate
SWIFT - Workplace Investigations
insurance
legal
Government & Regulatory
Social Media / OSINT
Technology
Merlin - The Next Generation!
Back
Webinars
Covid 19 and EI
IRM WHITE PAGES
Back
E-Touch Fingerprint Services
Back
president's message
about us
IRM team
SWIFT - Workplace Investigation
partners & affiliates
Privacy Policy
Awards
Home
INVESTIGATIVE SERVICES
corporate
SWIFT - Workplace Investigations
insurance
legal
Government & Regulatory
Social Media / OSINT
Technology
Merlin - The Next Generation!
WSIB/WCB Consulting and Advice Program
WEBINARS & WHITEPAPERS
Webinars
Covid 19 and EI
IRM WHITE PAGES
FINGERPRINTING
E-Touch Fingerprint Services
ABOUT
president's message
about us
IRM team
SWIFT - Workplace Investigation
partners & affiliates
Privacy Policy
Awards
Recruitment
Book Meeting Online
CLIENT LOGIN
Investigation Assignment Form
Client Information
Client Name:
Client Telephone:
Client Email:
Client Fax:
Client Company:
Client Address:
Investigation Information
Client Claim Reference #:
Budget (Before Tax):
Due Date:
Number of Days:
Number of Hours:
Specific Days/Times/Dates:
Surveillance
OSINT
Background
Locate
Financial
Subrogation
Other
Previous Investigation Information
Was Previous surveillance conducted?
Yes
No
When?
By Whom?
Was Subject aware of the previous surveillance?
Yes
No
Subject Information
Subject Name:
Date of Birth:
Subject Gender:
Open this select menu
Male
Female
Unspecified
Subject Height:
Subject Weight:
Subject Description:
Subject Photo:
Subject Address:
Subject Previous Address:
Subject Telephone:
Subject Email:
Relationship Status:
Open this select menu
Single
Married
Separated
Common-Law
Divorced
Widow
Unspecified
Name of Spouse / Partner:
Date of Loss:
Claim Type:
Open this select menu
AB
ABI
WSIB
Private
Unspecified
Social Media Links:
Children Names / Ages / Genders
Vehicle Information
Driver's License #:
Additional Vehicle Info
Vehicle #1:
Plate:
Vehicle #2:
Plate:
Employment Information
Current Employer:
D.O.L Employer
Address:
Address:
Telephone:
Telephone:
Medical / Legal Information
Doctor:
Physio:
Lawyer:
Address:
Address:
Address:
Telephone:
Telephone:
Telephone:
Comments
Additional Information / Comments
Submit
