

Please print out this form, fill-out and fax or mail it to us at Quality Inspections.
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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.) |
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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.) |
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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. |
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Location/Subrogation:
Consists of developing a current address, telephone number,
and place of employment. |
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| Special
Investigator Instructions: |
Inv._____
Date_____
Inv._____ Date_____
Date Complete: ______
Partial Final
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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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Copyright 1999
All Rights Reserved.
Intelligent Media Ventures, Inc.
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