Private Investigator serving Georgia and Florida – Hawk Professional Investigations

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Insurance Case Intake Form

This information will allow us an opportunity to become familiar with your assignment to formulate needs and strategies. No fees will be incurred or work initiated until we have presented a case plan and received your approval.

As a full-service investigative agency, Hawk Private Investigations ensures our clients are up-to-date on the status of their cases. We will contact you to acknowledge receipt of your request by the next business day. If you have not been contacted by the end of the next business day, please call us and let us know.

Contact Information

Contact Name (required)

Company Name

Address

City, State, Zip

Work Phone

Fax

Best Contact (person, method & time)

Case Details

Client File#

Insured Name

Case Type

Date of Loss

Describe your request/objectives

How did you find us?

If you were referred by an attorney, HPI client, or friend, please list their name. If you found us another way, please let us know where.

Subject Information

First Name (required)

Last Name

Address

City, State, Zip

Home Phone

Cell Phone

Date of Birth

SSN

Marital Status

Dependents

Detailed Description

Vehicle

Vehicle Tag & State

Is the subject represented by an attorney?

Attorney Name:

Is the subject receiving benefits?

Is the subject working light duty?

If the subject is going to rehab, where?

Employer

Work Phone

Address

City/State/Zip

May we contact the subject's employer?

Work Schedule

Hobbies, Activities, Memberships & Schedules

Accident Description

Nature of Injury

Limitations & Restrictions

Scheduled Appointments

Please list any scheduled appointments such as medical, rehab, depositions, etc. Include dates, times, and locations.

Previous Surveillance

Has surveillance been conducted on this case in the past?

Budget

Hawk Private Investigations' hourly rate for all insurance claims investigations is $100.00 per man hour, plus expenses for all time applied to the assignment, including:

• Investigative time applied

• Research time applied

• Administrative, report writing, video/evidence processing

• Travel time to and from assignment

• Surveillance- 6 hours on the job minimum per day per person

Necessary and appropriate expenses associated with the assignment include but are not limited to:

• Pre-approved travel expenses and lodging

• Database fees

• Cost of record retrieval and court costs

• Pre-approved contract labor

• Mileage at $0.60 per mile, billed from investigator's starting point to/from and on the assignment.

Budget Days

Comments

I accept these terms on behalf of my firm/company and/or my client. I understand, agree and acknowledge that time applied to this assignment is not only limited to on the job surveillance hours, plus travel, but also includes administrative, investigative, and case management time as well. All time applied to this assignment is compensable to Hawk Private Investigations.

If your need is urgent, call us immediately.
(770) 760-0071

All information submitted is considered confidential and privileged communication.

The information on this website is not legal advice and should not be used as such. Laws vary by state, city, and county and every situation is different. Consult your attorney for legal recommendations specific to your situation and location. If you need an attorney, we will be happy to refer you to one qualified in your area of need.

Private Investigator serving Georgia and Florida – Hawk Professional Investigations

Insurance Case Intake Form

If your need is urgent, call us immediately.
(770) 760-0071

All information submitted is considered confidential and privileged communication.

Georgia Corporate Office

Florida Corporate Office

Insurance Case Intake Form

If your need is urgent, call us immediately. (770) 760-0071

All information submitted is considered confidential and privileged communication.

Georgia Corporate Office

Florida Corporate Office

If your need is urgent, call us immediately.
(770) 760-0071