Initial intake Request

This form is used for preliminary case screening only. A formal written engagement is required before any services are provided.

Client Name/Company*

Client Email*

Client Phone Number*

Client Reference Number*

Case Classification (Example: Investigation, Security, Etc.)*

Urgency Level (Example: Immediate, 48 Hours, 1 Week, Not Urgent)

Primary Location ( City / Province / Address)*

Subject Full Name (if applicable)

Date of Birth (if known)

Photos & Additional Documents

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CONFIDENTIALITY NOTICE : All information submitted through this form is confidential and used solely for preliminary case assessment.

Veritas Risk Group Ltd.

Suite 341, 6433A Bowness Road NW, Calgary, AB T3B 0E6

403-700-7001 | info@veritasriskgroup.ca

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