Skip Trace Forms

Client Information

Name of Firm:
Telephone:
Your Name:
Fax Number:
Email:
Address:
Province/State
Postal/Zip Code
Name of Secretary/Assistant
Your Matter Name
Your File Number

Retainer Agreement

I hereby authorize the Corpa Group Inc., to conduct the enclosed investigation on our behalf. I confirm I will be charged $75.00 for a full report if they are unsuccessful. If they are successful in locating the subject I understand their fees to be $150.00 for a General Trace and $175.00 Rush Trace. General public rates are $200.00 per name.

Click Here if this is a Rush Trace $175.00. If left blank we will assume this is a General Trace ($150.00).

Law firms and Insurance Companies are not required to provide credit cards numbers or retainers. Just complete this form.

Payment Details via Credit Card for General Public.

I am paying by Visa American Express MasterCard

Card Number:
Expiry Date:

Subject Information

Subject's First and Middle Name:
Subject's Last Name:
Date of Birth:
Social Insurance Number:
Last Address (unit/apt):
Province/State:
Postal/Zip Code:
Date Last at This:
Phone Numbers (include all):
Employer and Name:
Employer's Address:
Province/State:
Postal/Zip Code:
Employer Phone:
Position at Employer:
Trade of Profession:
Subject Driver's License:
Plate Numbers of Vehicles:
Description of Vehnicles:

Subject's Spouse

Married
Common-law
Divorced
Separated

Spouse's First and Middle Name:
Spouse's Last Name:
Date of Birth:
Social Insurance Number:
Last Address (unit/apt): Same as spouse Different than above
 
Province/State:
Postal/Zip Code:
Date Last at This:
Phone Numbers (include all):
Employer and Name:
Employer's Address:
Province/State:
Postal/Zip Code:
Employer Phone:
Position at Employer:
Trade of Profession:
Spouse Driver's License:
Plate Numbers of Vehicles:
Description of Vehnicles:

General Information

Names and addresses of friends or relatives who might be able to provide information: (please provide telephone numbers)

Business or Credit References

If you have any of the following documentations, please check below, and then mail/fax/scan a copy to our office. (please do not mail any original documentations as we will not be returning them to you).

Application (credit, employment, lease, loan, rental, stock, tenancy, etc.)
Articles of Incorporation (Last page showing the subject as a director)
Motor Vehicle Accident Report
Bill or Invoice Outstanding
Police Report or Offence Notices
Credit or Financial Info
P.P.S.A. or U.C.C.
N.S.F. Cheque
Vehicle Registration Info

Do you have judgement against the subject? Yes No

If yes, please state amount and when was judgement obtained:

Has the subject ever signed a consent giving authorization for you or your client to conduct a financial investigation? (ie. as is usually found in loan, lease or credit applications): Yes No

Please explain:

We are a licensed agency, and by law we must be convinced that this trace is being conducted for a lawful purpose. Are there any court orders prohibiting you (or anyone associated with you) from contacting this person or being near this person? Yes No

You must give a full explanation as to why this trace is required. We will not be able to conduct this trace unless we are completely convinced that you will not violate any law once we find the person for you.