Electronic Case Filing Your Name Email Confirm Address City Post / Zip Code Phone Number Cell Phone Number Directions to the property Details of the problem Please give as much Information and detail as possible How many people live at the property and what ages are they? Have you experienced any of the below? Electrical Disturbance Had Headaches Felt Hot Spots Been Touched / Pushed Seen Shadows Seen Mists Seen Apparition Objects Moving Objects Missing Feeling Watched Heard Voices Heard Noises Please Check all that apply Further Details Please use this section to elaborate on your experiences or to give details not covered by the above list. How long has this been happening? Less than 1 month 1 to 12 Months 1 to 3 Years Over 3 Years Don't Know How Frequently has this been happening Random Times Several times a day About once a day Once a week Several times per month Infrequently Only happened once Please choose the item that best matches your experiences. Do you have any relevant historical information about the location? Type of premises Single Family Multi Family Condo Apartment Mixed Residential / Commercial Other Comments Please supply any additional information you think would be useful.
