Requestor Information

Claim Information

Supporting Documentation?
Claimant Details
Aliases
Names (all aliases)
Dates of Birth (all aliases) - (MM/DD/YYYY)
SSNs (all aliases)
Select which services you need
Medical
Social Media
Background Check
(All background checks include criminal and asset checks)
Asset Check
Criminal Check

Background Checks

Which options would you like?

Social Media / Background / Asset / Criminal

Supporting Documentation?
Case Photos?
If you have any photos pertaining to this case please upload them here
Medical Canvassing
P.O. Boxes are NOT valid addresses. Physical addresses are required
Every type of search selected below will be for 11 facilities

















Type of Specialty

Search Enhancements
Rush Medical Search Results?
We can expedite the medical search results for an additional fee of $50.00 per search.
Claimant Information Search?
Would you like to run a claimant information search for an additional $20 per search? This search can provide alternate names, addresses, SSNs and/or DOBs. (This is automatically included with a social media search.)
Would you like anyone else to receive a copy of the invoice?
Click "Add" above and then the enter email addresses
Would you like anyone else to receive a copy of the report?
Click "Add" above and then the enter email addresses
Comments

Making sure you are a human.

What is 7 + 8?