Learn More About this Form

This form is specifically for Insurance Investigations. For other investigation types, please contact us by telephone at (780) 488-4285 in Edmonton

A confirmation / summary of the information you entered will be emailed to you soon after your submission has been validated and added to our work pipeline. This can take up to 2 business days, but often is done much sooner.

Providing as much detail as possible can yield you the most value for your dollar.

Please note that surveillance, with good background information can be extremely effective, and you should consider budgeting for at least 2 consecutive days. A good starting budget for this strategy is about $3,000.

For assistance, please call us at (780) 488-4285

  • Client Contact

    This section helps us to validate your contact information.
  • Enter your full name
  • Enter your email address
  • Enter your phone number.
  • For delivery and billing purposes, please enter the name of your Company.
  • Enter your delivery address.
  • Case Information

    This section contains information about the case / assignment
  • The Insured's Last Name, First Name and Middle name or Initials (eg: SMITH John Jacob)
  • Enter your File Identifier
  • Please enter the Date of Loss
    MM slash DD slash YYYY
  • Please select all applicable activities that should be performed on this assignment (please provide details in the Objective box below).
  • Please describe the objective of this assignment.
  • Subject Details

    This section contains the information about the subject of your investigation. Providing as much detail as possible gives us the best chance of delivering quality evidence.
  • The Subject's Last Name, First Name and Middle name or Initials (eg: SMITH John Jacob)
  • Subect's date of birth
    MM slash DD slash YYYY
  • The last known addresses of the Subject, most recent first
    Location (e.g.: Home, Work, Parents...)AddressCityDateSource (e.g.: Police Report, IME, Medical Chart 
  • The last known Phone Numbers of the Subject, most recent first. Enter as many as you have. This information can be surprising useful in background research.
    Location (e.g.: Home, Work, Cabin...)Phone NumberDateSource (e.g.: Police Report, IME, Medical Chart 
  • If available, a physical description of the subject (height, weight, hair color/length, etc)
  • The Subject's license plate # and vehicle information if available
  • Please enter any known employment information, either past or present.
  • Do you have any reference documents available for us? Sometimes, the smallest detail helps us in the biggest way.
  • The subject's purported injuries and/or limitations, and any other observations you may feel to be important.
  • General

  • Attach / upload up to 5 collateral files. Files must be less than 40 Megabytes in size.
    Drop files here or
    Accepted file types: pdf, Max. file size: 40 MB, Max. files: 5.
    • Providing as much detail as possible can yield you the most value for your dollar. Please note that surveillance, with good background information can be extremely effective, and budgeting for at least 2 consecutive days often yields the best results. A good starting budget for this strategy is about 3,600 (please note-- this field won't accept dollar signs, commas, or decimals)
    • By default, we provide all video evidence including Video Executive Summaries, court-ready written reports with Executive Summaries, and other collateral on USB "flash-drives". Please select other options below
    • Please enter any other details, instructions, or requests.
    • This field is for validation purposes and should be left unchanged.