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Intake Form

C.I.A.’s secured client Intake Form is provided here for your convenience. Please complete the form and click the Submit Form button to transfer the information to C.I.A.’s investigation team via a secured process.

Client Name
Attorney Information
Examiner Information
Plaintiff Information

(Age, Race, Height, Weight, Hair, Eye Color, Glasses, etc.)

Name, SS# & DOB

include their ages and descriptions

(example: claim he/she uses a cane and pain issues in the left foot)

Members Of


    

 

  

Claims Investigation Agency

7171 Coral Way, Suite 218
Miami, FL 33155
305-244-9680