SERVICE REQUEST FORM

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Information you may choose to provide in this document is regulated pursuant to the Personal Information Protection and Electronic Documents Act, S.C. (PIPEDA) and related similar Provincial and Territorial privacy legislation in Canada.

The completion and transmission of this document represents your express Consent for Internal Affairs to collect, receive and respond to this information and the related service request you are submitting.


Name:
Location:
Please Specify Other:
Address:
City/Town:
Postal/Zip Code:
*Telephone Number:
Email:
Fax:
The best contact time is:
Anytime Mornings ( 7-12 )
Afternoon ( 12-5 ) Evening ( 6-12 )
Other:
*Email Communication is welcome but is much less productive and lacks the interactivity of direct telephone conversation.
Have you retained an attorney or lawyer in relation to this matter?
Have legal proceedings begun in relation to this matter?
Nature of Service Requested:
Consultation Investigation Surveillance Other

Please Specify Other:
Nature of Issue(s):
Criminal Civil Relationship
Asset Location Subject Location Interview(s)
Employment Screening Criminal Record Financial Record
Photography Due Dilligence Research
Mediation Litigation Support Corporate Records
Bankruptcy Records Birth/Death Records Marriage/Divorce Records
Motor Vehicle Records Land Title Records PPSA (Lien) Records
Media Records Court Records
Additional Comments:
NOTE: Internal Affairs will respond to your request at the earliest possible convenient moment, normally within twenty-four (24) to forty-eight (48) hours.

If you wish, you may also contact Internal Affairs at: 888-711-9994 toll free from anywhere in North America, 905-895-2882 locally or internationally or send an E-mail to: info@internalaffairs.ca