EmailMe Form - East Coast Coalition of Paranormal Investigators

Name *

First Last

Phone *

### - ### - ####

Email *

Address of Investigation Location

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Type of Property *

Are You The Owner of The Property? *

If “NO” Are You Legally Authorized To Permit an Investigation To Take Place? *

How Long Have You Been Affiliated With The Property? *

Has There Been Any Renovations Done Recently? *

Please List The Age And Gender Of All Occupants Of The Property *

Type Of Activity Being Reported
(click all that apply) *

If "Other" Please Explain Here.

Has Anyone At The Property Experienced Increased Emotional Stress, Physical Trauma, Emotional Trauma, etc *

Are You A Believer In The paranormal? *

Prior To The Activity, Did You Believe In The Paranormal? *

Has Anyone Who Is Affiliated With The Property Recently Experienced The Death Of A Loved One Or Close Friend? *

If "YES", Who, and When

Has Anyone Affiliated With The Property Ever Been To An Alleged Haunted Location By Themselves Or With A Group? *

If "YES", Please Explain Who, When, And Where

At The Time Of The Experiences, Was Anyone Under The Influence Of Alcohol Or Marijuana? *

Does Anyone At The Property Suffer From Mental Illness Or Depression *

Has Anyone At The Property Ever Used A Ouija Board Or Any Other Means To Communicate With “Spirits”? *

If "Yes" When?

Has Anyone At The Property Ever Practiced Black Magic Or Witchcraft? (Excludes Wicca) *

Is There Any Other Information You Would Like To Disclose That You Feel May Be Relevant To The Possible Activity Taking Place At The Property?

COVID-19 Investigation Procedure Acknowledgement:

The East Coast Coalition of Paranormal Investigators takes our client and member safety very seriously. Because of the ongoing pandemic caused by COVID-19, we have taken extra steps to ensure the well being of clients and investigators. Prior to each investigation all ECCPI members will meet at a location before the investigation. Once there, each member will be asked a series of questions pertaining to symptoms of COVID-19. After being asked questions every member will have their temperatures taken. If it exceeds 100 degrees, the member will be sent home.

We are also limiting our investigating team size to 5 members on ALL cases going forward to help maintain social distancing guidelines while investigating. Equipment will be sterilized before and after each investigation.

All Investigators are required to wear masks unless a medical condition prevents this. If this is the case then we will ask clients if they are comfortable with a member being there without a mask. If they are not comfortable then the member will not be allowed to attend the investigation.

If you are comfortable with our updated procedures please check the box below.

I acknowledge & Accept

I Acknowledge & Do Not Accept

COVID-19 Client Screening Acknowledgement:

The East Coast Coalition of Paranormal Investigators requires all clients to be asked questions regarding the symptoms of COVID-19 during the intake interviews with ECCPI Case Managers. Clients will be asked again upon arrival to the location and will be asked to have their temperatures taken by an IR Non Touch Thermometer. This is to help ensure the well being of all Clients and Team Members at the location.

Every person who is present during the investigation must be screened. If you do not feel comfortable with this procedure we may reschedule the investigation for a later date.

If you acknowledge and accept please check the box below. *

I Acknowledge & Accept.

I Acknowledge & Do not Accept

By signing the bottom of this form, I hereby attest that the information above has been filled out to the best of my knowledge and is answered truthfully.

I understand that services offered by East Coast Coalition of Paranormal Investigators are free of charge. If they believe an investigation is to be warranted, the investigation will be at their own expense.

I understand that my identity and, along with all other parties affiliated with the property as well as the location of the property will be kept confidential. Unless required by law enforcement or legal subpoena.

I understand that if an investigation is warranted, my request for services may be denied or revoked if the location is deemed unsafe for an investigation (i.e. asbestos, Trip/Fall hazards, Illegal drug use, violent or unruly (living) occupants, etc.) and if that is the case, a senior member of ECCPI will inform me if my application has been denied or revoked based on these parameters.

By signing below, I acknowledge that I have read all the above-mentioned understandings and am authorizing a member of ECCPI to contact me regarding the activity I am reporting. *

Electronic Signature