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Merlin - The Next Generation!
Technology
Home
ABOUT
about us
president's message
partners
SERVICES
corporate
insurance
legal
Government & Regulatory
Social Medial / OSINT
Merlin - The Next Generation!
Technology
IRM team
Media
☎ (855) 384-4764
CLIENT LOGIN
CONTACT
SUBMIT AN
ASSIGNMENT
CLIENT INFORMATION
Request submitted by
*
Request submitted by
First Name
Last Name
Company name
Email
Street address
CIty & Postal code
Phone
*
Phone
(###)
###
####
SERVICES REQUESTED
please select all that apply
Surveillance
Locate
Background
Financial
Social Media
OSINT
Other
Budget
*
HST included?
*
No
Yes
SUBJECT OF INVESTIGATION
First Name
*
Surname
*
Home address
Work address
Date of Birth
Date of Birth
MM
DD
YYYY
Subject Phone
Subject Cell
Subject Date of Birth
Subject Date of Birth
MM
DD
YYYY
Subject Height
Weight
Description
GENDER
SELECT
Female
Male
Other
MARITAL STATUS
SELECT
Single
Married
Common-law
Separated
Divorced
Single
Name of Spouse / Partner
Name of Spouse / Partner
First Name
Last Name
Children / Names, Ages, Gender
VEHICLE INFORMATION
Driver's License #
Vehicle #1
Plate #
Vehicle #2
Plate #
Additional vehicle information
EMPLOYMENT INFORMATION
Current Employer
Address
Phone
Phone
(###)
###
####
INSTRUCTIONS
Number of Days
Number of Hours
Specific Dates/Times
Was previous surveillance conducted?
SELECT
Yes
No
When?
By Whom?
Was the subject aware of the previous surveillance?
N/A
YES
NO
MEDICAL / LEGAL INFORMATION
Doctor
Address
Phone
Phone
(###)
###
####
Physio
Address
Phone
Phone
(###)
###
####
Lawyer
Address
Phone
Phone
(###)
###
####
Nature of Dissability
Comments / Requests
CONTACT
Call Prior to Start of Surveillance?
SELECT
yes
no
Updates Required?
SELECT
Daily
Upon completion
Not required
Claim Number
Date of Loss
Claim Type
AB
BI
WSIB
other
Thank you!