Pittsburgh Paranormal Research

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Fill out the Investigation Request form below. Only the home/property owner or primary renter can request an investigation. Investigations are free of charge and all information is kept strictly private and confidential.

Name: *


First	Last

Best time to contact: *

E-mail: *

Phone:

Address: *

City: *

State: *

Zip: *

Detail what you are experiencing:

When did activity begin?:

Where do you experience these events? "ie. Are they concentrated to one room?":

When do you experience this activity? "ie. Are there specific times or days?":

Does the activity focus around a certain individual?:

Who has witnessed this activity?:

Do any accompaning odors or fragrances accompany this activity?:

Do you experience any changes in temperature?:

Do you encounter any sounds and if so please describe them:

What physically have you seen? Please describe as accurately as possible:

Do any animals respond to the activity?:

Are these events causing any emotional or psychological affects on you or others around you?:

Rate the fear associated with this activity. (1"Not at all" 10 "Terrified")

Me:
Spouse/Significant Other:
Children:
Other Family Member:
Other:

*If you need more space, use "Other Information" below.

Do the events seem threatening?:
What knowledge have you of the history of your surroundings?:
Any bodies of water, rivers, cemeteries, etc., nearby?:
What other pertinent info can you provide us?:
What are your expectations for this investigation?:

I, named above, understand that Pittsburgh Paranormal Research' will take all reasonable care, while at the property/location named above, not to cause willful loss or damage to the property/location or anything within. I also understand they will abide by their Code of Conduct. I will not claim for any loss or damage from Pittsburgh Paranormal Research or it's affiliates should any accidental loss or damage occur during their investigation/visit. I accept full responsibility for my own safety and state that I have informed, or will inform, any other persons attending a pending investigation/visit that they are responsible for their own safety also. I agree that Pittsburgh Paranormal Research is not responsible for my/our safety and should any injury occur to me/us no claim will be made against Pittsburgh Paranormal Research or it's affiliates.

Clicking 'Submit' acknowledges that you have read, understood and agree with the above and the PPR Code of Conduct.

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