Case Intake Form PURPOSE - This form has been provided by Bearden Investigative Agency, Inc. to help us learn the necessary information required to set up your case for investigation. Please take a moment to fill in the information and send this to us so we can begin the process of serving you.Fields that have an [...]

Thursday, Sep 9, 2010

Case Intake Form

PURPOSE - This form has been provided by Bearden Investigative Agency, Inc. to help us learn the necessary information required to set up your case for investigation. Please take a moment to fill in the information and send this to us so we can begin the process of serving you.Fields that have an asterisk * are required.

Case-specific Information

Case Type

* Subject Name

Client Case Name

Other Client ID

Referred By

Billing Information

Date Opened

Budget Total

Total Payments

Card Type

Card Number

Expiration Date

Name on Card

Client's Legal Representative

Type

Name

Company

Address 1

Address 2

City

State

ZIP Code

Phone

Other

Fax

E-mail

Transmittal

Client

Type

* Name

Company

Address 1

Address 2

City

State

ZIP Code

Phone

Other

Fax

* E-mail

Transmittal

Billing Party (if different from Client Information above)

Type

Name

Company

Address 1

Address 2

City

State

ZIP Code

Phone

Other

Fax

E-mail

Transmittal

Case Notes

Please type additional notes here

* Verify

Script by Dagon Design

Links
Law Outlines
- Law School Outlines
- Referrals

Case-specific Information

Billing Information

Client's Legal Representative

Client

Billing Party (if different from Client Information above)

Case Notes

Links

Law Outlines