Submit Assignment - Bulldog Investigations

To get started, fill out the form below.

Assignment

Your Name*

Your Email*

Company Name

Your Address

City, State, Zip Code

Your Phone Number

Claim Number

Financial Authority (number of days or budget amount)

What type of investigation do you need?

(Surveillance, Public Record Check, Alive and Well Check, Interviews, etc)

Purpose of Investigation

Subject's Name

Date of Birth

Social Security Number

Driver's License Number

Email Address

Street Address

City, State, Zip Code

Home Telephone

Cellular Telephone

Gender

Race

Height & Weight

Spouse

Children

Date of Injury

Nature of Injury

Insured

Is it okay to contact insurance?

Yes

Contact Name

Contact Phone

Is the subject represented?

Yes

Would you like us to mail a copy of the DVD to your attorney?

Yes

Attorney Name

Law Firm

Attorney Phone

Attorney Address

City, State, Zip Code

Attorney Email Address

If you are human, leave this field blank.