MDSI Marianne Dupuis: Special Investigations
Providing as much detail as possible, including Motor Vehicle Search results can yield you the most value for your dollar.

Please note that surveillance, with good background information can be extremely effective, and you should consider budgeting for at least 2 consecutive days. A good starting budget for this strategy is about $1,800.

We provide all video evidence on DVD, and provide thorough written reports, with both concisely summarized for your convenience.

Welcome. This form can be used to provide us with preliminary details about an assignment you would like us to begin.

About You


Please enter your full name


Please enter your phone number


Please enter your email address


Please enter the name of your company


Please enter other information about you

About The Assignment


Please enter the surname of your insured


Please enter your File ID #


Please enter the date of loss (MM/DD/YYYY)


Please enter your budget amount in dollars


Please choose the objective(s) of the Investigation (use Command - Click to multi-select)

About the Subject


Please enter the Investigation Subject's full name (LAST, First + Initials)


Please enter all information you have about the Subject's stated injuries and their claim (no detail is unimportant)


Please enter the Color, Year, Make, Model of the Subject's vehicle


Please enter the Subject's vehicle licene plate number


Please enter the Subject's date of birth (MM/DD/YYYY)

Male Female
Please choose the subject's gender


Please enter the Subject's height


Please enter the Subject's weight


Please enter the Subject's hair color


Eg: Tatoos, Eye color, Piercings, Glasses, Scars, etc.


Please enter the last known address of the subject, and/or any other locations


Please enter the name of the Subject's employer

Subject - Known Facts (please select any that are TRUE)


Please select if the subject is working


Please select if you have previously investigated this Subject


Please select if the subject has legal representation


Please select if you have a photo or other identification of subject


Please select if the subject is receiving medical treatment


Please select if the subject has had prior claims


Please select if you have other documents about the subject

Yes No
Please indicate if you are providing Motor Vehicle Search information (this can significanlty increase the value for your budget dollars)

*Required Information

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