Maine Private Investigators
MAINE
PO Box 116
Litchfield ME 04350
207-268-3419 Tel
207-268-3420 Fax


Case Assignment Form


Fill in the form below as completely as you can. We will be in touch in a timely manner to discuss how we can serve you.
Case Type:
Criminal Civil Workers Comp Other
 
Client Information
Name:
Firm / Agency:
Address:
Telephone:
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Fax:
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Email:
How would you like us to contact you? Telephone Email In Person
   
Subject Information
Name:
Date of Birth:
/ / (mm/dd/yyyy)
Social Security #:
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Address:
Case Information:
Other Information:
      

 

This form is designed to make it more convenient for new and existing customers to contact Surette Consulting and Investigations. Any information sent will be considered confidential.