Assign A Case

Fill out the form to submit your information and secure the facts.

Customer Information:

Name: *

Company:

Address: *

City: *

State: *

Zipcode: *

Phone: *

Mobile:

Fax:

Email: *

Assignment Information:

Type of Assignment:

Date of Assignment:

Budget or Amount of Days Requested:

Rush: Yes No

Date Needed By:

Claim Information:

Claim #: *

Type of Claim:

Subject's Name: *

City: *

Subject's Address:

State: *

Zipcode:

Other Known Address:

Known Vehicles:

Type of Injury:

Date of Injury:

Medical Restrictions:

Phone:

Phone (Other):

Date of Birth:

SSN:

Race:

Sex: Male Female

Weight:

Height:

Hair Color:

Hairstyle:

Can you provide photos of the subject?: Yes No

Other Description, Tattoos, Facial Hair, etc.:

Currently Working: Yes No

Employer:

Insured:

Job Title:

Confidential Contact for Description:

CI Phone Number:

Are there any upcoming scheduled appointments that the subject will be attending?: Yes No

If YES, when, where, what time, and any other info that may apply:

Is the subject represented by an attorney?: Yes No

If YES, the name of the attorney:

Has prior surveillance been conducted on subject?: Yes No

If YES, please describe when it was conducted and the outcome of the investigation

Any other requests/notes regarding assignment?

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About Snoop Investigations, LLC

Snoop Investigations, LLC. draws on decades of experience in the insurance fraud claims investigations and surveillance fields.

Founded by Mike Hussnatter, an investigator with 20+ years experience, and through the utilization of the best investigators in the industry, and combined with cutting-edge surveillance and video equipment, we deliver consistent and reliable results on every case.

No revenue sharing agreements.
No stock holders and not owned by TPA or carrier.