Submit Cases: Get a Head Start | Case-Closed Investigations

Service Information

What type of service are you requesting?(Required)

Background Investigation

Surveillance

Skip Tracing

GPS Tracking

Other

What is your budget or allotted number of days?(Required)

Do you require a hard copy report?(Required)

Yes

Claimant Details

Claimant Name(Required)

First Middle Last Suffix

Date of Birth(Required)

Social Security Number(Required)

Claimant's Height, Weight, Race, Hair Color(Required)

Claimant Address(Required)

Street Address Address Line 2 City State ZIP Code

Spouse Name

Children?

Yes

Prior Surveillance?(Required)

Yes

Previous Report?(Required)

Yes

Represented?(Required)

Yes

Attorney Name

Claimant Background Information

Is the claimant currently working?(Required)

Yes

Please note the location, days, hours and type of work.

Is the claimant currently receiving payments?(Required)

Yes

Please indicate where payments are being sent.

Street Address Address Line 2 City State ZIP Code

Medical Information?

Need to send medical infomation? After submitting this form, please contact a member of our team for instructions.

Insured Information

Okay to contact insured?(Required)

Yes

Name of Insured

Name of Insured Contact

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Information

Additional Notes

Subject Vehicle Information

Vehicle 1

Make

Model

Year

Color

Tag #

Registered to

Vehicle 2

Make

Model

Year

Color

Tag #

Registered to

Subject 2 Vehicle Information

Vehicle 1

Make

Model

Color

Year

Tag #

Registered to

Vehicle 2

Make

Model

Color

Year

Tag #

Registered to

Additional information or instructions

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The information you provide to us through our Website will be used so that we may respond to your request and inquiries. We may also use the information you provide to us to communicate with you in the future. This form does not establish any privileged relationship with Case-Closed Investigations, Inc.

When you send us an electronic message, you may be sending personal information. In these cases, we may retain the information not only to respond to your request, but also as a record of correspondence. Messages sent via email can be intercepted. If you are concerned about sending your information to us via the Internet DO NOT click the “Send” button, you always have the option of using phone or regular mail to contact us.

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Comments

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Get a head start on your case!

Thank you for providing information about your case. Case-Closed Investigations will review this form and contact you with questions and suggestions.

Client Information

Service Information

Claimant Details

Claimant Background Information

Medical Information?

Insured Information

Additional Information

Subject Information

Subject Vehicle Information

Second Subject Information

Subject 2 Vehicle Information

Submit a Case

Get a head start on your case!

Thank you for providing information about your case. Case-Closed Investigations will review this form and contact you with questions and suggestions.

Client Information

Service Information

Claimant Details

Claimant Background Information

Medical Information?

Insured Information

Additional Information

Subject Information

Subject Vehicle Information

Second Subject Information

Subject 2 Vehicle Information