quality inspections company, inc. - insurance claims investigation
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Please print out this form, fill-out and fax or mail it to us at Quality Inspections.


investigation request form
   Special Activities:  Consists of developing subject's current activities - if he is working or not and his physical capabilities or restrictions. These will be documented with video. (Normally 2-3 day surveillance with two(2) investigators and can be extended for as long as you desire.)
   Basic Activities: Consists of developing subject's current activities. Used as initial investigation to determine if a special activities check is required in some cases. (Normally 1-2 day surveillance with one(1) investigator, unless two are required.)
    Special Investigation/Extended Background Investigation: Consists of researching courthouse records and developing information in the following areas:  Mortgages, Chattel Mortgages, Suits and Judgements, Bankruptcy, MVR, Family Court, Probate, Criminal Litigation Records and Marital Records. Also any specific question you need answered in relation to claim or subject's background.
    Location/Subrogation: Consists of developing a current address, telephone number, and place of employment.

Special Investigator Instructions:
Inv._____ Date_____
Inv._____ Date_____



Date Complete:  ______
Partial       Final      

Quality Inspections Company, Inc.
Insurance Claims Investigation
9352 Interline Avenue • Rothford Place • Baton Rouge, LA  70809
(504) 927-1517/1526/1547 • Fax:  (504) 927-1549

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