CyberSweepIn Depth Desktop Investigation CLIENT INFORMATION Law Firm Name: Date: Attorney’s Name: Other contact for the Law Firm: Office Phone: Direct Phone: Cellular Phone: Address: Due Date: Clients Case Number: SUBJECTS INFORMATION First Name: Middle Name: Last Name: Subject’s Current Address: Subject’s Previous Address: Any Additional Information: SERVICES REQUESTED CyberSweep In-depth $300.00CyberSweep In-depth with one State Criminal Background check $450.00Social Security number acquisition $50.00Special investigation quote requested Special Instruction information – Specific information for investigation: Upload Documents (Max File Size : 400MB) pdf,doc,docx,zip,png,jpg,jpeg Name of Representative Authorizing Services: BY SUBMITTING THIS FORM TO THE AGENCY, YOU AFFIRMATIVELY AGREE TO THE FOLLOWING: 1. LIMITATIONS OF USE AND LIABILITY 2. ALL INFORMATION IS CORRECT. Limitations of Liability. While the information contained in the report(s) provided has been obtained from records data sources deemed reliable, its accuracy cannot be guaranteed due to potential human error in the actual recording of the records. Since this information is not owned by Diversified Investigative Associates LLC., and since records data on any one individual, group of individuals, company, or companies can be contained in more than one repository, Diversified Investigative Associates LLC., can only rely on its accuracy from the records data sources presently available at the time of the search. This information is furnished for your exclusive use and accepted by you without any liability whatsoever on the part of Diversified Investigative Associates LLC, its sources, officers, agents or employees. Furthermore, you agree to indemnify Diversified Investigative Associates LLC., its sources, agents, and employees of any liability for the use of this information. Client Preferred Method of Billing InvoiceCredit Card CLOSING COMMENTS: Should you require assistance or have questions regarding this form, please do not hesitate to contact our office at 407-374-9356 or via email at info@diversified-investigations.com Thank you for this inquiry, and it has been a pleasure servicing your needs. Respectfully, CLICK BELOW TO SUBMIT FORM.
