Please fill out this information as carefully as possible. Detailed information leads to better results Client Information Your Name (required) Your Department Your Email (required) Your Telephone Number (required) File and/or Claim Number (required) Subject's Information Subject's Name (Required) Subject's Date of Loss (Required) Subject's DOB Subject's Address Subject's Phone Number Known Vehicles Marital Status Spouses, children, family etc. Physical Description Past and Current Employment Information Injuries Investigation Information Budget (Required) Previous Mantis file # if applicable: Any upcoming events? (I.E's, Medicals, assessments etc) Rush Deadline? Additional Information: Please upload any previous surveillance reports, police reports etc here