Digital Privacy & Threat Mitigation Intake Form

Confidential – Attorney Client Work Product (If Applicable)

SECTION 1 – CLIENT IDENTIFICATION

Full Legal Name (as appears on ID) *:

All Prior Names / Maiden Names / Aliases:

Date of Birth *:

Driver's License State/Number:

Social Security (Last 4 Only):

Current Residential Address *:

Years at Current Address:

All Previous Addresses (Last 10 Years):

SECTION 2 – SPOUSE INFORMATION (If Applicable)

Spouse Full Legal Name:

Spouse Prior Names / Aliases:

Spouse Date of Birth:

Spouse DL State/Number:

Spouse SSN (Last 4 Only):

Spouse Current Address (If Different):

Years at Current Address:

All Previous Addresses (Last 10 Years):

SECTION 3 – CONTACT INFORMATION

Primary Phone Number *:

Primary Email Address *:

All Other Phone Numbers Used in Past 10 Years:

All Other Emails Used in Past 10 Years:

SECTION 4 – EMPLOYMENT & BUSINESS EXPOSURE

Current Employer:

Past Employers (Last 10 Years):

Business Ownership Interests (LLCs, Corps, DBAs):

SECTION 5 – PROPERTY & VEHICLES

Real Property Owned:

Rental Properties:

Vehicles Registered in Your Name:

SECTION 6 – ONLINE & SOCIAL MEDIA ACCOUNTS

List all known accounts (active or inactive). Include usernames and associated emails where possible.

Facebook:

Instagram:

LinkedIn:

X (Twitter):

TikTok:

Snapchat:

Reddit:

YouTube:

Pinterest:

Venmo:

Other (please specify):

SECTION 7 – KNOWN EXPOSURE OR HARASSMENT

name:

Describe Nature of Harassment:

Has Law Enforcement Been Contacted?

Yes

SECTION 8 – SPECIFIC REMOVAL REQUESTS

Have you identified specific websites displaying your information? List URLs:

SECTION 9 – AUTHORIZATION FOR OPT-OUT SUBMISSIONS

I authorize Hover View Investigations, Inc. to:

Submit lawful opt-out requests on my behalf

Submit data removal requests to data brokers

Submit search engine removal requests where eligible

Communicate with platforms regarding exposure

Use redacted identification documents where required

SECTION 10 – IDENTITY VERIFICATION DOCUMENTS REQUIRED

Client must provide:
• Government-issued ID (redacted photo and ID number permitted)
• Proof of current address (utility bill or bank statement)
• Signed authorization form

DISCLAIMER.

PAYMENT TERMS

50% retainer due upon execution of Agreement
Remaining balance due prior to completion of Phase II
Maintenance programs billed monthly in advance
No refunds once digital removal submissions have commenced
HVI may offer discretionary promotional or hardship discounts at its sole discretion. Pricing above reflects standard retail rates.

I HAVE READ & UNDERSTAND THIS SERVICE AGREEMENT and I agree to all provisions on behalf of myself, the firm, and the Client represented in this matter assigned to The Agency. I will receive a copy of this contract via email. I authorize my electronic signature to act as an original in this agreement.

I read, understood and agree to all terms and conditions.

Digital Privacy & Threat Mitigation Intake Form

Los Angeles Private Investigator