East End Investigative & Security Consultants
P.O. Box 11
Eastport, New York 11941
Phone: (631) 878-4673
Fax: (631) 878-9010
Copyright EEISC 2008
Your Name:
Company/Firm:
Phone-ext:
Email Address:
File/Case:
Date of Loss:
Insured/Client:
Phone:
Address:
Claimant Info:
Description and Loction of Loss:
Requested Investigation:
Surveillance:
Photos/Diagram:
Witness Canvass:
Locate Insured/Witness:
Trial Prep:
Signed Statement:
Document Retrieval:
Other:
Investigation Specifics:
Case Assignment
