Zoho Forms

Service Request

Date & Time of Request *
N/A

MMMM-dd-yyyy HH:MM AM/PM
Your Name
N/A

Required Agency Name Required Point of Contact Name
Email
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Your Address
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Required
Street Address Required City Required State/Region/Province Required
Postal / Zip Code
Agency Phone
N/A
Point of Contact Phone
N/A

In case of an emergency or after hours, someone knowledgeable about the case.
What documents are we serving? *
N/A
Deadline for Person to be served
N/A

MMMM-dd-yyyy
Is Sub-Serve Allowed?
N/A

-Select-
Person to Serve
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Required Individuals Name Required Company Name
Picture or ID of subject to serve
N/A
Upload file Capture image using webcam
Address to serve
N/A

Required
Street Address Required City Required State/Region/Province Required
Postal / Zip Code
Any additional addresses to check?
N/A
What type of service are you requesting? *
N/A

ECONOMY $75 (1st attempt within 24-48 hours, 3 attempts in 5-7 business days)
PRIORITY $125 (1st attempt within 24 hours, 3 attempts in 3-5 business days)
RUSH $175 (1st attempt made the same day, 3 attempts in 3 business days)
Posted Legal Documents $40 - Can be left @ address -- in/on door

All addresses must be within a 20 mile range. If not an additional fee of .66 per mile will be added to the invoice.
Documents to Serve (If the upload does not work please remove the file submit this form and then email files to premier@secondchancecompany.com)
N/A
Upload file
If the upload does not work please remove the file submit this form and then email files to premier@secondchancecompany.com
Is there anything that the assigned specialist needs to know in reference to this case?
N/A
PAYMENT IS REQUIRED ONCE THE JOB HAS BEEN REVIEWED AND APPROVED FOR SERVICING FROM OUR MANAGEMENT STAFF. AN INVOICE WILL BE SENT VIA THE EMAIL ABOVE. DO YOU AGREE? *
N/A

-Select-

Payment can be made via credit, debit or ACH transfer. If you need to make payment by alternate means please select your answer accordingly.

Do not submit confidential information such as credit card details, mobile and ATM PINs, OTPs, account passwords, etc.Report Abuse

Service Request

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