We are pleased to take your Investigative assignment...

All information provided to us will be held in the strictest confidence and used solely for the purpose of conducting the assigned investigation.

Client Information:
Field Investigation Assignment
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Egis International, Inc.
 Investigative Assignment
Your Name & Your Company or Firm Name:
Your Address:
Case Information:
Your E-mail Address:
Your Telephone:
Your Fax:.
Your File / Claim #
Your Client / Insured
.
Policy Number
NAIC Number
Date of Accident / Incident
Location of Accident / Incident
Details of Accident / Incident.
Court Term & Number
Court Caption:
Assignment Narrative: (Please provide the details of your assignment including names, addresses, telephone numbers and other pertinent information concerning witnessed to be interviewed. If we are to conduct a background investigation or locate an individual please also provide other available information including date of birth, Social Security number and aliases.
Financial Authorization / Limit:
Standard turn around time is 30 days. If you need the investigation conducted on a RUSH basis enter due date here:
Indicate your preferred reporting method:
Additional Information / Additional Instructions / Comments:
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