Request Investigation

To assign a case, simply enter information in the fields below, as completely as possible (some fields are required).  You will receive an acknowledgement email within 24 hours of assignment.  If you do not receive acknowledgement, please contact us at info@acure8.com or call us at 1-888-479-7525. Thank you.

NOTE: Submitting this form does not constitute a contract or agreement that Accurate Investigative Services, Inc. will perform any services on your behalf. Once we receive your information, we will review your case and an agent will contact you to discuss your options.

Request for Investigation

* Client/Company

* Representative

* Client Address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

* Client Email

* Client Phone

Claim Number

Date of Loss

Insured

* Type of Investigation Requested Surveillance Activity Check Alive and Well Check Statements Subpoena/Process Service Subrogation Scene Photos Other

Claimant/Subject Name

Claimant/Subject address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

Claimant/Subject Phone

Claimant/Subject SSN

Claimant/Subject Date of Birth

Claimant/Subject Injury

Claimant/Subject Physical Description

Upcoming Appointments/Hearings

Instructions

Additional Information/Comment

Hour/Dollar Limit