GENERAL INVESTIGATION FORM: Skip-trace - Basic Search Report most recent database search results. Skip-trace - Extensive Search 10-hours of investigative research. Background Check - Basic and Extensive Questions? Call Our Office (800) 211-2519 Today's Date: CLIENT INFORMATION ATTORNEY / LAW FIRM NAME/ CLIENT NAME: * Name of law firm, business, collection company or private client. LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT LAW FIRM BUSINESS COLLECTION COMPANY PRIVATE CLIENT Please select the category that best describes your professional capacity in this matter. CLIENT NAME / REQUESTOR NAME/ PERSON REQUESTING SERVICE: Who has authorized the investigation? CLIENT NAME / REQUESTOR NAME/ PERSON REQUESTING SERVICE: Email Address: AGREEMENT & INVOICE PROCESSING EMAIL ADDRESS: * Where should we send the agreement & invoice email? OFFICE PHONE NUMBER: Example: (999) 999-9999 DIRECT PHONE NUMBER: Example: (999) 999-9999 CELL PHONE: Example: (999) 999-9999 LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT ADDRESS LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT ADDRESS LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT ADDRESS LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT ADDRESS City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Comments Due Date Client File# / Client Name: Civil Case# *RUSH ASSIGNMENT NOYES1 Week2 Weeks3 Weeks4 WeeksOther INDIVIDUAL'S INFORMATION (SUBJECT INFO) SUBJECT: Name (First, Last) * SUBJECT: Date of Birth SUBJECT'S: Social Security Number SUBJECT'S SPOUSE: Name (First, Last) Optional Information: SPOUSE'S: Date of Birth Optional Information: SUBJECT'S MOST RECENT OR CURRENT: Address SUBJECT'S MOST RECENT OR CURRENT: Address SUBJECT'S MOST RECENT OR CURRENT: Address SUBJECT'S MOST RECENT OR CURRENT: Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal SUBJECT'S MOST LAST KNOW ADDRESS: Optional Information: PROFESSIONAL OCCUPATION / EMPLOYMENT: Optional Information: INFORMATION: Optional Information: SPECIAL INSTRUCTIONS FOR AGENCY - SPECIFIC INFORMATION FOR INVESTIGATION Optional Information: INVESTIGATION SEARCH REQUESTED: Client Must Identify Desired Search or Services Checkboxes INDIVIDUAL - Date of Birth Acquisition Fee $50.00 INDIVIDUAL - Unique Identifier (UID) Acquisition Fee $50.00 Required for investigative research. INDIVIDUAL - Standard Statewide Background Check, Complete SSN (Public Records Only) and report of our findings Fee $395.00. INDIVIDUAL - Extensive Background Investigation, Complete SSN and report of our findings Fee $495.00 INDIVIDUAL - Skip-trace Database Locates Fee $375.00 | Complete SSN is required. This is a search for recent information and report of our findings. INDIVIDUAL - Skip-trace Extensive Search Fee $850.00 | 10 Hours Investigative Research to sort through information and report of our findings STATEMENTS: Hourly Rate $195.00 per hour, per investigator used. Travel Time and Mileage are not included in the hourly rate. SURVEILLANCE: Hourly Rate $195.00 per hour, per investigator used. Travel Time and Mileage are not included in the hourly rate. OTHER: Investigation Services not listed on this form. If you want another service please attach an event summary regarding the circumstances. PREVIOUS ADDRESS: Optional Information: KNOWN VEHICLES: Optional Information: SPECIAL INSTRUCTIONS FOR AGENCY - SPECIFIC INFORMATION FOR INVESTIGATION Optional Information: Upload Documents Drop a file here or click to upload Choose File Maximum file size: 30MB 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. PAYMENT & AGREEMENT: Stryker Investigations does not accept checks. An Electronic Invoice will be emailed to you through Square. Payment can be made using your credit card, Apple Pay, or Google Pay. The agreement will be emailed to you through DocuSign. Section Heading Captcha If you are human, leave this field blank.