INSURANCE POLICY SEARCH Insurance Policy Search for Auto Policy Information, Home Owners Policy, or Umbrella. Call the office if you have Questions (800) 733-1950 Today's Date Law Firm Information (Client Name) Law Firm Name Law Firm Address or Client Address * Contact Information Contact Person * Phone Type WorkMobileHome Phone Type WorkMobileHome Email * CC Email Your Client/File Name Your File NUmber SUBJECT OF INSURANCE POLICY INVESTIGATION BELOW: Date of Loss NAMED INSURED: Subject Information Insured's Name Insured's address NAMED INSURED: Subject Information Insured's Date of Birth Insured's SSN Driver License No. Insured's VIN or plate Insurance Company Policy Number Claim Number RUSH SERVICES NO RUSHRUSH 2 WEEKS: $290.00 extra chargeRUSH 3 WEEKS: $150.00 extra charge CANCELATION FEE: ONCE THE INVESTIGATION HAS BEEN SUBMITTED, THERE IS AN ADDITIONAL FEE OF $175.00 TO CANCEL THE SEARCH. SERVICES AND FEES FOR THE SEARCH REQUESTED: Auto Insurance Policy Trace(s) Policy Limits*: $460.00 Auto / Umbrella Combo Special: $660.00 Policy Number: FEE $395.00 Commercial Policy Search: FEE $980.00 Locate Home: Property or Umbrella Insurance (if the insurance company is not known): FEE $1200.00 / *NO HIT FEE $350.00 Obtain Home: Property or Umbrella Insurance Limits (if the insurance company is known): FEE $1200.00 Search without a Defendant's Address: FEE $200.00 USAA SEARCH FEE $790.00 Locate Insurance Carrier with Limits: HIT FEE $895.00 / *NO HIT FEE $350.00 Policy Limit Search DOL 1-3 Years from today's date: FEE $350.00 / *NO HIT FEE $150.00 To Obtain Policy Limits with no Address and DOB: $895.00 / *NO HIT FEE $350.00 Locate Insurance Carrier Only: FEE $590.00 / *NO HIT FEE $350.00 Claim History Search (ISO): FEE $300.00 w/SSN $500.00 w/out SSN SWITRS - Statewide Integrated Traffic Records System Reports: FEE $290.00 SEARCH RESULTS NO HIT = NO HIT FEES UNLESS OTHERWISE MARKED AS *NO HIT FEE Life Insurance Policy Search: Fee $1,995.00 IDENTIFY ADDRESS FOR THE PROPERTY OR UMBRELLA INSURANCE SEARCH Home: Property or Umbrella Insurance Search: Special instructions for agency - specific information for investigation Letter of Acknowledgement: Upload Police Report and Documents Drop a file here or click to upload Choose File Maximum file size: 30MB Letter of Acknowledgement from the Insurance Company: Upload a copy of the Police Report and Documents. 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 Stryker Investigation Services Inc. does not own this information, 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. 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 PAYMENT | Electronic invoice through Square. Pay as ACH Payment Between Banks. 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.
