Thank you for your interest in working with JAA Investigations! To assign a case, fill out our form and we will get back to you at the soonest convenience.
Assign a Case
EMAIL *
PHONE *
Address
first Name *
COMPANY*
LAST Name *
GENERAL COMMENTS / MESSAGE:
INJURY DESCRIPTION*
CLAIM NUMBER (OR TYPE N/A)*
CLAIM INFORMATION [SECTION 2 / 7]
DATE OF LOSS *
ASSIGNMENT TYPE*
ASSIGNMENT INFORMATION [SECTION 3 / 7]
TYPE OF CLAIM*
PRIORITY LEVEL*
DOB*
PHONE*
Address *
first Name *
ATTORNEY INFORMATION
SUBJECT INFORMATION [SECTION 4 / 7]
SOCIAL SECURITY NUMBER*
ALIAS'S (SEPARATED BY COMMA)
SECONDARY PHONE
OCCUPATION
HOBBIES / ACTIVITES
SEX
RACE
HEIGHT
WEIGHT
BUILD
HAIR (COLOR, LENGTH, STYLE)
Other Descriptive Features - identifying marks, tattoos, glasses, etc.
SPOUSE
PLEASE EMAIL ANY supporting documents TO JEFF@JAAINVESTIGATIONS.COM (ex: pictures of the subject, previous reports, first report of injury etc).
CONTACT PERSON'S NAME
COMPANY
PHONE
Address
WEBSITE
SPECIAL INSTRUCTIONS AND COMMENTS
What indicators of fraud caused you to assign this investigation?
3RD PARTY INFO
THIRD PARTY INFO [SECTION 7 / 7]
CASE OBJECTIVES [SECTION 6 / 7]
SUBJECT EMPLOYER / INSURED INFORMATION [SECTION 5 / 7]
CLIENT INFORMATION [SECTION 1 / 7]
RESTRICTIONS
MIDDLE Name
LAST Name*
