Online investigation order form - factual investigations - The Australian Research Investigation Agency - Austresearch- is based in Northern New South Wales, Australia, servicing Northern New England from Armidale to the Northern Rivers, Lismore Coast, Southern Queensland and along NSW and Queensland border from Texas to the Gold Coast.

Australian Research and Investigation Agency


	Online Order Factual Investigation

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Service order form - Factual

Please complete this form. Where a requested input is not relevant or information is not know, please write "n.a." and do not leave any inputs empty. Our investigation will be based on the information you supply and authorise. The more comprehensive and accurate the information, the greater the prospect of success.

Name
Business/company name
Business address
Contact name
Contact phone number
Contact mobile numer
Contact fax number
Contact email
Retype email
Type of matter to be investigated
Your reference
Claim number
Name of matter (if litigated)	- v -
Date of injury or event
Circumstances of injury or event (for new paragraph hit enter twice)
Has legal action commenced	Yes / No
Has police been notified	Yes / No
If YES, please supply details

Claimant/plaintiff/subject details - full information is needed particularly if the subject can be approached by our investigator.
Subject First name
Subject Surname
Subject Address
Telephone
Email
DOB
Driver Licence #
Alias
Place of birth
Nationality
Ethnic background
Occupation
The Insured (defendant) name
Is this employer your insured?	Yes / No
Employer's address
Any additional information regarding the insured?
Has the matter been investigated previously?	Yes / No
If YES, give details
Please explain the circumstances of your instructions to investigate
You can upload documents or images that may assist us in your selection. Note: "bad" or hostile files/programs will be blocked
Attach document/file #1

Attach document/file #2

Attach document/file #3

Reporting preferences Please tick your choice of reporting format
Reports & digital photographs	on CD ROM
	on DVD
	on USB Removable Storage
	by email
	Hard copy by Registered Post
	by Courier Delivery
Documents & digital photographs Hard copy	by Registered Post by Courier Delivery
Payment - what method of payment will you be using for our services
Please select

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