Brian Brown & Associates Inc.

Confidential Investigation Service Request

To request a specific assignment service please fill out the form below.

* Please note that filling out this form does not constitute a contract for services. You will be contacted to arrange a consultation*

Name

Day-time Phone

ext

Evening Phone

ext

E-mail Address
(Required)

Confidential Fax

Mailing Address

Type of Service
Required

	Background Checks and Investigations
	Commercial / Financial Investigations
	Corporate Fraud/Theft
	Domestic/Matrimonial Investigations
	Insurance Fraud Investigations
	Photographic/Video Evidence
	Pre-employment Screening & Internal Investigations
	Undercover Investigations
	Video & Personal Surveillance
	Witness Statements

Other (specify)

Briefly Describe
Situation