Fraud Fighters -Assignments

For your convenience,

we store your contact information on our secure server once you
complete the first online assignment .

We will automatically send a copy of your assignments to you via email as
a confirmation of receipt.

At Ramos, We Take The Risk Out of Doing Business!

Subject

First Name, MI, Last Name

AKA

Address

City

State

ZIP Code

Phone

Ssn

DOB (dd/mm/yyyy)

Occupation

Assigned By

First Name, MI, Last Name

Company

Address

City

State

ZIP Code

Phone

Extension

Fax

Employer

Contact Person

Company

Address

Phone

City

State

ZIP Code

Injury

Date of Injury

Type of Injury

Restrictions

Claim Number

Cane Crutch Collar Brace Limps

IMPORTANT: Please fax or email the previous report to avoid redundancy!

Defense Attorney

First Name, MI, Last Name

Firm

Address

City

State

ZIP Code

Phone

Extension

Fax

Assignment

How many days of SURVEILLANCE would you like?

Would you like an ACTIVITY CHECK prior to the surveillance?

May we call contact person for a DESCRIPTION of the subject?

By what DATE do you need the investigation completed?

Has another firm investigated the subject?

Description of Subject

Sex

Race

Height

Weight

Build

Hair ( length / color / style )

Eyes

Complexion

Glasses

Tattoo

Descriptive Features

Notes: