General Investigation Form - Stryker Investigations Questions? Call: (800) 733-1950 CLIENT INFORMATION ATTORNEY / LAW FIRM NAME/ CLIENT NAME: * Today's Date: CLIENT NAME / REQUESTOR NAME/ PERSON REQUESTING SERVICE: Email Address: * CONTACT PERSON (paralegal or associate attorney) & POSITION REPRESENTATIVES AUTHORIZED TO SIGN FOR THE COMPANY OR FIRM: EMAIL ADDRESS OF REPRESENTATIVES AUTHORIZED TO SIGN THE AGREEMENT: INVOICE PROCESSING AND PAYMENT EMAIL ADDRESS: Office Phone Direct / Private Line Cell Phone Address * Comments Due Date Client File# / Client Name: Civil Case# *RUSH ASSIGNMENT NOYES1 Week2 Weeks3 Weeks4 WeeksOther INDIVIDUAL'S INFORMATION (SUBJECT INFO) SUBJECT: Name (First, Last) * SUBJECT: Date of Birth SUBJECT'S: Social Security Number SUBJECT'S SPOUSE: Name (First, Last) * SPOUSE'S: Date of Birth SUBJECT'S MOST RECENT OR CURRENT: Address SUBJECT'S: Previous Address PROFESSIONAL OCCUPATION / EMPLOYMENT: INFORMATION: INVESTIGATION SEARCH REQUESTED: Client Must Identify Desired Search Checkboxes INDIVIDUAL - Date of Birth Acquisition Fee $50.00 INDIVIDUAL - Unique Identifier (UID) Acquisition Fee $50.00 INDIVIDUAL - Property Search or Investigation for Ownership Fee $295.00. Our search is conducted nationwide. INDIVIDUAL - Social Media Investigation Fee $300.00 | Client Must Provide Subject's Name, Email Address. INDIVIDUAL - Standard Statewide Background Check (Public Records Only) Fee $195.00. INDIVIDUAL - Extensive Nationwide Background Investigation Fee $295.00. INDIVIDUAL - Skip-trace Database Locates Fee $275.00 | SSN is required. This is a nationwide search for recent information. INDIVIDUAL - Skip-trace Confirmed Locate Fee $850.00 | 10 Hours Investigative Research to sort through information. INDIVIDUAL - Insurance Policy Search for Life Insurance Policy Fee $1,200.00 | Client Must Provide Subject's SSN. INDIVIDUAL - Insurance Policy Search for Business Insurance Policy Fee $1,200.00 | Client Must Provide Subject's SSN. STATEMENTS: Hourly Rate $195.00 per hour, per investigator used. Travel Time and Mileage are not included in the hourly rate. SURVEILLANCE: Hourly Rate $195.00 per hour, per investigator used. Travel Time and Mileage are not included in the hourly rate. OTHER: Investigation Services not listed on this form. If you want another service please attach an event summary regarding the circumstances. PREVIOUS ADDRESS: KNOWN VEHICLES: SPECIAL INSTRUCTIONS FOR AGENCY - SPECIFIC INFORMATION FOR INVESTIGATION SPECIAL INSTRUCTIONS FOR AGENCY - SPECIFIC INFORMATION FOR INVESTIGATION Upload Documents Drop a file here or click to upload Choose File Maximum file size: 30MB METHOD OF PAYMENT | PAYMENTS ARE DUE BEFORE SERVICE IS PROVIDED. E-INVOICE | Electronic invoice through Square. Pay with your credit card, Apple Pay, Google Pay. ACH INVOICE | Electronic invoice through Square. Pay with your credit card, Apple Pay, Google Pay, or ACH bank transfer. Name of Representative Authorizing Services * BY SUBMITTING THIS FORM TO THE AGENCY, YOU AFFIRMATIVELY AGREE TO THE FOLLOWING: 1. LIMITATIONS OF USE AND LIABILITY 2. ALL INFORMATION IS CORRECT. Limitations of Liability. While the information contained in the report(s) provided has been obtained from records data sources deemed reliable, its accuracy cannot be guaranteed due to potential human error in the actual recording of the records. Since this information is not owned by Stryker Investigation Services Inc., and since records data on any one individual, group of individuals, company, or companies can be contained in more than one repository, Stryker Investigation Services Inc., can only rely on its accuracy from the records data sources presently available at the time of the search. This information is furnished for your exclusive use and accepted by you without any liability whatsoever on the part of Stryker Investigation Services Inc., its sources, officers, agents or employees. Furthermore, you agree to indemnify Stryker Investigation Services Inc., its sources, agents, and employees of any liability for the use of this information. CLOSING COMMENTS:We sincerely appreciate your confidence in Stryker and look forward to the privilege of working with you on this assignment.If you have any questions, please call us at (800) 733-1950 Thank you for this assignment. Section Heading Captcha If you are human, leave this field blank.
