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Welcome to Ramos Investigations
Corporate Headquarters
2600 Michelson Drive, 17th Floor • Irvine, CA 92612
Phone (800) 576-6116 • Fax (800) 576-6226
Assignments@RamosInvestigations.com

 
SUBJECT
First Name, MI, Last Name
AKA
Street Address
City
 State
 		Zip Code
Phone
 SSN
 		DOB (dd/mm/yy)
Occupation
ASSIGNED BY
First Name, MI, Last Name
Company
Street Address
City
 State
 		Zip Code
Phone
 Extension
 		Fax
Email
EMPLOYER
Contact Person Company
Address
 Phone
City
 State
 		Zip Code
INJURY
Date of Injury Type of Injury
Restrictions
 Claim Number
Subject Uses:
Cane Crutch Collar Brace Limps
DEFENSE ATTORNEY
First Name, MI, Last Name
Firm
Address
City
 State

 		Zip Code
Phone
 Extension
 		Fax
Email
INTERVIEW
SECURE
INVESTIGATE
Claimant
Employer
Third Party
All Potential
Witnesses

 

 

       
Medical Authorization
 

Criminal Records

Employers Report
 

Driving Record

Personnel Records
 

Civil Record

Hospital Records
 

Fict. Bus. Statement

Medical Report
 

Material Data Sheets

Wage Statement
 

Asset Search

Police Report
 

Soc. Sec. Index

Death Certificate
 

Real Property Index

Birth Certificate
 

W.C.A.B. Records

Divorce Decree
     

AOE/COE
 

Past Med. History

Employment
 

Initial Aggressor

Ind. Contractor
 

Employment History

Dependency
 

Product Liability

Intoxication
 

Serious and Willful

Subrogation
 

Notice to Employer
     

Workers Comp. History

 
By what date do you need this investigation completed?

Please provide us with the names and phone numbers of any witnesses:

Please take photographs of:

Are there any specific questions that you would like the investigator to ask?


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