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Client Intake Form

Preferred Contact Method

Address (If applicable)

Multi-line address
Service Requested
Urgency of Request
Preferred Appointment Date/Time
Month
Day
Year
Time
HoursMinutes

Business Phone: +1 (714) 290-4958

Private Investigation Firm, LLC:

EIN: 93-3283365

DCJS Private Investigator: 99-284990

DCJS Compliance Agent: CA-1003180

Private Security Services: 11-21072

Primary State: Virginia

Reciprocity Agreements: North Carolina, Georgia, Tennessee, Oklahoma, Louisiana and Floridia

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