Open A New Case

1. Your Information

Tell us who is submitting this case.

Full Name *

Company / Firm (if applicable)

Your Role *

Email Address *

Phone Number *

Best Time to Reach You

Help us understand what kind of investigation you need.

Type of Investigation Needed *

Priority Level *

Standard
5–7 business days Urgent
2–3 business days Rush
24–48 hours

Provide what you know. Leave any field blank if information is unavailable.

Subject's Full Name

Claim Number (if any)

Subject's Date of Birth (approx. OK)

Date of Injury / Incident

Last Known Address

Subject's Phone (if known)

Employer at Time of Injury

Tell us what's going on. The more detail you provide, the faster we can help.

Reported Injury / Claim Description

Why Do You Suspect Fraud? (or, what would you like investigated?)

Has This Been Investigated Before? (if yes, briefly explain)

Anything Else We Should Know?