CONTACT | LANKI

Please feel free to contact us for a no obligation, completely confidential discussion. You can write to us, send us an email, or contact us by phone. We are available 24 hours a day, seven days a week.

Directory:	Main Telephone: 604.930.0399 / Toll Free: 1.888.930.0399 Main Facsimile: 604.930.0388 / Email: results@lanki.ca
Address:	411-151 10090 152^nd Street Surrey, BC V3R 8X8

ASSIGNMENT FORM:

FILE #
CLIENT #
SUBJECT
CITY
HOME PHONE

SURVEILLANCEINVESTIGATIONS OTHERS
DATE OF LOSS	DATE
ADDRESS
PROVINCE POSTAL CODE
BUSINESS PHONE

PHYSICAL DESCIPTION

AGE SEX RACE MARITAL STATUS

SPOUSES NAME CHILDREN

SUBJECT'S VEHICLE

ALLEGED INJURY

PHYSICAL RESTRICTIONS

PREVIOUS SURVEILLANCE

PURPOSE OF THE INVESTIGATION

SPECIAL INSTRUCTIONS:

SPECIFIC DAYS THAT THE SURVEILLANCE IS TO BE CONDUCTED

HOURS OF $ LIMIT TO FILE

CLIENT COMPANY

ADDRESS

PHONE EMAIL FAX

if you are not ready to send us your application, or if you want to redo it.