• SUBJECT'S FORM: Polygraph Only Intake Statement and Case Information 2022

  • This form is STEP 2 in the polygraph exam process. Do not complete this form until you have a confirmed appointment date.

    This form is for the Subject taking the exam to complete ONLY. This form may not be completed by anyone else other than the person taking the polygraph exam. 

    This form is compromised of 11 different sections, A-J.

    A: Exam Verification

    B: Subject's Information

    C: Reporting Party's Information

    D: Disclaimers

    E: Statement Collection

    F: Question Submission

    G: Evidence Collection (Option to Upload Files)

    H: Credibility Assesment

    I: Policies & Notices

    J: Signature & Form Submission

    Depending upon your responses, this form may take anywhere from 15 - 30 minutes to complete.

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    • Section A: Verify Your Exam(s) is Already Scheduled 
    • SECTION A: VERIFY YOUR EXAM

      Before completing this form, you should have already scheduled and paid for your exam online during Step 1. Please verify your exam information below. 

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    • Section B: SUBJECT'S INFORMATION 
    • SECTION B: THE SUBJECT'S IDENTITY VERIFICATION AND INTAKE INFORMATION

      The Subject is the person taking the polygraph or EyeDetect exam.

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    • Section C: THE REPORTING PARTY 
    • SECTION C: THE REPORTING PARTY

      The Reporting Party is the accuser making the allegation or the alleged victim. In infidelity cases, this is your partner that is accusing you of cheating.

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    • Section D: Lie Detector Test Notice and Disclaimer 
    • SECTION D: NOTICE AND DISCLAIMER

       

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    • Section E: Statement Collection 
    • SECTION E: STATEMENT COLLECTION

       

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    • Section F: Question Submission 
    • SECTION F: QUESTION SUBMISSION

       

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    • Section G: Evidence Collection 
    • SECTION G: EVIDENCE COLLECTION

       

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    • Section H: Credibility Assessment 
    • SECTION H: CREDIBILITY ASSESMENT

       

    • Section I: Policies & Notices: 
    • SECTION I: POLICIES & NOTICES

       

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    • Section J: Sign & Submit  
    • SECTION J: CONFIRM, SIGN AND SUBMIT

       

    • I, the Subject, hereby confirm under any applicable laws, that the statements made by me within this form are the truth, the whole truth and nothing but the truth.  

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