Clugston Polygraph and Investigative Services

Clugston Polygraph & Investigative Services

6440 South Lewis Avenue

Bridgeport II Office Building

Suite 2700

Tulsa, Oklahoma 74136

918-622-7008

If you would like to schedule a polygraph exam, please submit the following information. If you have questions about the polygraph exam, please see our frequently asked questions page or call us at 918-622-7008.

Your Name
Your Phone		Your E-Mail


	If this test involves the loss of money or merchandise from a business, has the incident been reported to a law enforcement agency? Yes No N/A

Employer



Tell us about the person you wish to have tested.
Name
Address
City
Phone		Cellular

Date of Birth			Male Female



Other	Please tell us about the incident you want covered on the test.

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