6777 Camp Bowie Blvd., Suite 125, Fort Worth, Texas  76116
Telephone: 817-377-4342     Facsimile:  817-377-4367
Texas License CO7323

CASE REQUEST FORM
PLEASE COMPLETE ALL FIELDS.  THE MORE INFORMATION YOU PROVIDE THE BETTER WE WILL BE ABLE TO ASSIST YOU.
LAST NAME, FIRST
COMPANY NAME:
ADDRESS LINE 2:
CITY, STATE, ZIP
ext.
AREA CODE/PHONE #
BEST HOURS TO CONTACT
PREFERRED METHOD
OF CONTACT:
Phone:
Mail
E-mail
SERVICE NEEDED
REASON FOR REQUEST:
EMAIL ADDRESS:
RELATIONSHIP TO SUBJECT
In the following spaces, please provide as much information on the subject or company as possible:
LAST NAME, FIRST
LAST KNOWN ADDRESS
CITY, STATE and ZIP
DATE OF BIRTH
or approximate age
DESCRIPTION:
Height-Weight-Race
Hair color and length -
Eye Color - Glasses - Facial Hair - Tattoes - Scars - Etc.
ADDITIONAL INFORMATION:
Previous states - Relatives - Schools attended - Jobs - Hobbies - Memberships - Etc.
INFORMATION REQUESTED:  Marriage records - Assets - Locate - Employee Screening - Etc.
Please note this is only a request form and does not constitute a contract or agreement to provide services.  Upon receipt of your information an investigator will contact you by your desired method to discuss fees based upon the information we received and any additional information we may require.  
I have read and agree to the terms and conditions as stated above.
By submitting this online form, I certify and affirm that the information I have provided is true and correct to the best of my knowledge.  I understand that fees will be collected prior to the release of any information by ER Investigations.  I agree that all information obtained will be used for lawful purposes only. I agree to indemnify and hold harmless ER Investigations, LLC., it's owners, officers, employees and associates, harmless of any wrongs.  I further understand that information obtained from database sources may contain inaccuracies due to human error and agree to hold ER Investigations, LLC, it's owners, officers, employees, and associates, harmless.
ADDRESS LINE 1:
ER INVESTIGATIVE NETWORK, LLC.
FORT WORTH PRIVATE INVESTIGATORS
http://www.erinvestigations.com
http://www.erinvestigations.com/about_us.html
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