HIPRS/HIGH - Case Request Form
If you believe you are experiencing paranormal or haunting activity and are serious about seeking answers, please fill out this form as thoroughly and truthfully as possible to the best of your knowledge. All request forms will be screened thoroughly for credibility before we consider beginning our research and taking on an investigation.
Please note that this form is confidential and shall only be viewed by the Lead Investigators and Case Manager. No information shall be used for public viewing.
First Name:
Last Name
Email Address:
Address
Street / Apt#:
City:
Zip Code (5 Digits)
State: (If other than Hawaii for inquiries.)
Contact Phone Number
Phone Number is:
Location Information:
Location - Other (Explain)
Is property Vacant or Occupied?
Occupants
Residents in Home Adults
1
2
3
4
5
6
7
8
9+
Children
1
2
3
4
5
6
7
8
9+
Children ages: (Check all that apply)
Business - Number of employees
How long have you lived/worked at the location?
What type of activity or phenomena are you experiencing? (Please be a thorough as possible to help with our screening process.)
To your knowledge, has there been any significant changes recently? (i.e. Deaths, divorce, renovations, troubled teens, consistent arguments and confrontations.)
Has anyone else experienced activity here? If so who?
When does activity generally occur and at what frequency?
List any specific times noted: (i.e. every night at 7:30pm)
List any significant landmarks or structures (natural or man-made) in the area that you are aware of. (i.e. power lines, cemetery, heiau, battle grounds, etc.)
Notable history of the location/land:
Personal Information
Do you believe in Ghosts?
Have you had any other experiences with anything paranormal in the past? If so explain:
Do you believe in psychic abilities and phenomena?
Do you believe you have psychic abilities?
If so, please explain:
Do you or anyone else on the property use recreational or drugs? (Please be truthful. This information may help.)
If so, please explain:
Has anyone used a Ouija board at the location or conducted any type of occult activities?
If so, please explain in detail. (Very Important)
Investigation Inquiry
Purpose of the investigation?
What would be an ideal time to conduct an investigation if one is deemed necessary? (Please keep in mind that our "usual" investigation start time is about 10:00pm and may last as long as four hours. But if activity happens at 6:00pm in the evening, that is when we will schedule the investigation.)
Would you like this investigation to remain confidential?
Special requirements or requests?
Comments and additional information.
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