Excelsior Services

Client Information:
Please provide all of the following information about yourself in case we need to contact you in the course of an investigation.

Name
Home Address
City		State	Zip
Work Address
City		State	Zip
Home Telephone	Work Phone
Other Phone/Cell/Pager	Email Address

Subject Information:
Please fill out the following sections to the best of your ability, recognizing that the more information we have about a subject, the better we can perform our job.

Subject's Name, full legal
Physical Description:
Height		Weight
Hair Color		Eye Color
Birth Marks, Scars, Tattoos, Eye Glasses or other distinguishing characteristics:

Any AKA's
Maiden Name

Current Address
City	State	Zip
Last Known Address
City	State	Zip
PO Box or Mailing Address:
City	State	Zip
Former Address
City	State	Zip
Birthplace	Date of Birth:
Driver's License #	State issued by:
Social Security #

Vehicles:

Please list Make, Model, Color, License Number, and any distinguishing features such as roof racks or bumper stickers. Include any vehicles the subject may drive or be a passenger in.

Make	Model	Color	License#	Features

Driving Habits:

Employer::
Address:
City	State	Zip
Telephone:

What is the subject's usual Work Schedule?
What type of environment is this location?
Occupation and title:

Please list any locations such as bar, gym, restaurant, or friend's residence that the subject may frequent:
	Location	Address	Frequency


Other relevant information:
Usual manner of dress:
Personality characteristics:
Daily patterns:
Hobbies and interests:
Medical conditions:
Drug/alcohol use:

Any other comments or information that will help us to understand and identify the subject:


Purpose of This Investigation: In your own words, please indicate what the purpose of your investigation is.

Terms of Agreement:

Today's Date:	,
Hourly Rate:	,
Flat Rate:	,
Additional Rate:	,
Deposit:	,