NCC - NATIONAL CLAIMS CONTROL - PRIVATE INVESTIGATIVE SERVICES - SANTA CRUZ, CALIFORNIA
NCC - NATIONAL CLAIMS CONTROL - PRIVATE INVESTIGATIVE SERVICES - SANTA CRUZ, CALIFORNIA PRIVATE INVESTIGATOR SERVICES PRICING SUBMIT A CASE TESTIMONIALS CONTACT LINKS
PRIVATE INVESTIGATOR SERVICES
SURVEILLANCE
STATEMENT
BACKGROUND CHECK
SUBROGATION
RECORDS RETRIEVAL AND REVIEW
PROCESS SERVICE
LOCATION SERVICE
Submit A Case
Thanks for choosing National Claims Control!  There are 4 parts to the simple form below.  

* Please fill in as many or as few items as you wish, but the more details you provide, the faster we will be able to help you.

 Part #1 - Your Details
 (Unless you're a returning customer, please supply your full contact information. If you are a returning customer, simply fill in your name.)
Name:
Company: (if applicable)
Address Line 1:
Address Line 2:
City: State:
Zip: Country: (if non-US)
Telephone: (include area code) Extension: (if applicable)
Email Address:
Title:
Best Time To Contact: (HH:MM:SS, 20:30:00)     AM   PM   Any
Preferred method: Phone   Email   Mail
Send Film in Format:
 Part #2 - Defense Attorney (if any)
Attorney to receive a copy?   Yes   No
If no, please skip to Part 3. If a report is to be addressed and mailed to an attorney, please include attorney name and address here.
Attorney Name:
Law Firm: (if applicable)
Address Line 1:
Address Line 2:
City: State:
Zip: Country: (if non-US)
Telephone: (include area code) Extension: (if applicable)
Email Address:
Send Film in Format:
 Part #3 - Case Details
Service Type: Surveillance/Sub Rosa Location Service Subrogation Process Service
or Other:

 Records:
Obtain any/all records Obtain any/all records and provide summary
Obtain records from limited locations:

Obtain records from limited locations and provide summary:


 Background Services:
Full Background Check Partial Background Check Prior Claims Investigation Asset Check
 Details:

 Statements:
Claimant statement only Employer/witness statement(s) only Claimant and employer-level statements Other

Due Date:   Time Authorized:
Specific Days to be Run:
Date of Loss:   Claim #:
Occupation:
Employer:
Employer Contact: (if necessary)
Address Line 1:
Address Line 2:
City: State:
Zip: Country: (if non-US)
Employer Telephone: (include area code)
Alleged Injury:
Restrictions:
Complaints:
Special Instructions:
Currently Working?
 Part #4 - Claimant Details
Name: Gender: Male   Female
Address Line 1:
Address Line 2:
City: State:
Zip: Country: (if non-US)
Telephone: (include area code) Occupation:
Social Security:
Date of Birth:   or Approximate Age:
Height: Feet    Inches Weight: Lbs.
Build: Facial Hair:
Hair Color: Length/Style:
Eye Color: Glasses:
Race: Caucasian / African-American / Hispanic / Middle-Eastern, etc.
Distinguishing Marks: scars/tattoos, etc.
Vehicle 1: (color, make, model, plate number)
Vehicle 2: (color, make, model, plate number)
Vehicle 3: (color, make, model, plate number)
Any Other Details:
Prior Address:
Previously Investigated?
Aware?
Applicant's Attorney
Attorney Name:
Law Firm: (if applicable)
Address Line 1:
Address Line 2:
City: State:
Zip: Country: (if non-US)
Telephone: (include area code) Extension: (if applicable)
Email Address:
Send Film in Format:
Security Code:
Notes: Please key in the security code shown on the above image.
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