INSURANCE POLICY SEARCH Insurance Policy Search for Auto Policy Information, Home Owners Policy, or Umbrella. Call the office if you have Questions (800) 211-2519 Today's Date RUSH SERVICES NO RUSHRUSH 2 WEEKS: $290.00 extra chargeRUSH 3 WEEKS: $150.00 extra charge CLIENT INFORMATION LAW FIRM NAME / CLIENT / BUSINESS / PRIVATE CLIENT: * Client Name: Client or Attorney Email * Who has authorized the investigation? LAW FIRM / BUSINESS / COLLECTION COMPANY / PRIVATE CLIENT LAW FIRM BUSINESS COLLECTION COMPANY PRIVATE CLIENT Please select the category (or type of client) that best describes your professional capacity in this matter: Law Firm or Client Address: Law Firm or Client Address: Law Firm or Client Address: Law Firm or Client Address: City City State/Province State/Province Zip/Postal Zip/Postal Office Phone: Example: (999) 999-9999 Direct Phone: Example: (999) 999-9999 Contact Person Email: Requestor Name: Name Your Client/File Name Your File Number Date of Loss CANCELATION FEE: ONCE THE INVESTIGATION HAS BEEN SUBMITTED, THERE IS AN ADDITIONAL FEE OF $175.00 TO CANCEL THE SEARCH. SUBJECT OF INSURANCE POLICY INVESTIGATION BELOW: NAMED INSURED: Business Entity or Subject Information An insured is someone protected under an insurance contract. Insured's Name * Please identify the person or business entity we are investigating. Insured's Address * Insured's Address Insured's Address Insured's Address City City State/Province State/Province Zip/Postal Zip/Postal Insured's Date of Birth Insured's SSN Driver License No. Insured's VIN Vehicle Identification Number (VIN) is unique 17-character code Insured's Vehicle Registration: License Plate / State Optional Information Insurance Company Policy Number Claim Number IDENTIFY THE TYPE OF POLICY FOR THE SEARCH: Auto Policy Limit Umbrella Policy Information and Limits Homeowners Policy Business Insurance / Commercial Policy Search Locate Insurance Carrier Claim History (ISO) SWITRS - CA Statewide Integrated Traffic Records Auto/Umbrella Combo Special INSURANCE SEARCH REQUESTED & FEES: Policy Number Search: FEE $495.00 Commercial Policy Search (BUSINESS ENTITY): FEE $980.00 Search without a Defendant's Address: FEE $200.00 USAA SEARCH FEE $790.00 Locate Insurance Carrier with Limits: FEE $895.00 Policy Limit Search DOL 1-3 Years from today's date: FEE $350.00 Locate Insurance Carrier Only: FEE $590.00 To Obtain Policy Limits with no Address and DOB: $895.00 Claim History Search (ISO): FEE $300.00 w/SSN $500.00 w/out SSN Auto / Home Umbrella Combo Special: $660.00 Auto Insurance Policy Trace Policy Limits $460.00 >**Required Info: Insurance Company and Policy Number< Is there a Police Report or documents? Yes No If so did you attach the police report or documents? Yes No Optional Information: Type your response here. The field will expand as you write. Let us know what you are trying to find. The more details provided, the more likely we are able to find the information you are looking for. UMBRELLA POLICY SEARCH - CLIENT MUST INCLUDE ADDRESS Obtain Home: Property or Umbrella Insurance Limits (if the insurance company is known): FEE $1,000.00 Locate Home: Property or Umbrella Insurance (if the insurance company is not known): FEE $1,200.00 IDENTIFY ADDRESS FOR THE PROPERTY OR UMBRELLA INSURANCE SEARCH IDENTIFY ADDRESS FOR THE PROPERTY OR UMBRELLA INSURANCE SEARCH IDENTIFY ADDRESS FOR THE PROPERTY OR UMBRELLA INSURANCE SEARCH IDENTIFY ADDRESS FOR THE PROPERTY OR UMBRELLA INSURANCE SEARCH City City State/Province State/Province Zip Zip LIFE INSURANCE POLICY SEARCH: Single State Life Insurance Policy Search: Fee $1,995.00 Nationwide Life Insurance Policy Search: Fee $2,995.00 Optional Information / Choose a state for the statewide search: Type your response here. The field will expand as you write. Let us know what you are trying to find. The more details provided, the more likely we are able to find the information you are looking for. Any Special instructions for agency - specific information for investigation Optional Information: Type your response here. The field will expand as you write. 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. Section Heading Captcha If you are human, leave this field blank.