CALIFORNIA R&I COMPANY
(818) 997-3868
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Est. 1975 :: "Experience makes the difference"
Surveillance Rates
Please fill out this form so we can start your file. If you have any questions, call us at (818) 997-3868.
SURVEILLANCE ASSIGNMENT
SUBJECT INFORMATION (required)
First Name
Middle Name (or any part, if known)
Last Name
Gender
Height
Weight
Eye Color
Hair Color (head)
Hair Color (face)
Age
Race
Any identifying characteristics:
Street Address
Apt. Number
City
State
Zip
Home Phone
Employer's Company Name
Employer's Street Address
Employer's City
Employer's State
Employer's Zip
Work Phone
Occupation
Vehicle Make
Vehicle Model
Vehicle Year
Vehicle Color
Vehicle License Plate Number
Type of Driver Unknown Normal Slow Fast Erratic Careful
Where subject might go:
Name and/or description of any people that the subject might encounter
Special instructions/comments
_______________________________________________________________
YOUR PERSONAL INFORMATION (required)
Your First Name
Your Last Name
Your Home Phone
Your Work Phone
Your Mobile Phone
Your Email Address
Your Street Address
Your Apt. Number
Your City
Your State
Your Zip
By clicking SUBMIT your information will be delivered to us electronically and you will be taken to a confirmation page so you can print out what you sent us.
© 2011 California R&I Company, Inc.