Contact - Risk Assessment Form

Please use the below form to contact COMSEC, LLC. or call 703-910-3330 in Northern VA/DC or Nationwide Phone/Fax 1-800-615-0392 for a quote on your executive offices, business, residence, yacht, aircraft, vehicles or facility using a telephone or computer away from your area of concern. Hotel Meeting Room & Conference Room TSCM monitoring also available.
Date: *
Company Name:
Contact Name: *
Address Street : *
City: *
Zip Code: * (5 digits)
State:
Safe Daytime Ph: *
Safe Cell Ph: *
Email: *
Number of rooms (or square footage) to be inspected: *
Number and (square footage) of conference rooms : *
Number of phones, Faxes, Printers: *
Number of Phone lines servicing address:
Number of Computers to be analyzed:
Number of vehicles to be inspected:
Type of cell phone:
Preferred inspection date & time:
Preferred method of inspection: Covert or Open:
Is this inspection for preventative reasons or other?:
Are you currently involved in litigation?:
Do you have a perceived threat now?:
Who do you think has you or your business under surveillance?:
Comments:

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