Phone: 985-847-9954
Phone: 888-531-5317
Fax: 985-646-0783

Investigation Referral

Please use the following form to submit an investigation referral. Fill out the form as accurately and completely as you can. You may also opt to simply upload a completed form you have (see the bottom of this form).

Investigation Referral

Assignor/Client Information

Type of Assignment

Insured Info

Claimant/Subject Information

Upload Photos, Police Reports, Database, Assignment Information, etc.
Accepted File Types: jpg, jpeg, gif, png, txt, pdf, doc/docx, zip, rtf, xls/xlsx, odt, ods

Choose a file to upload: