Refer a Case

Services

Traditional Surveillance

Desktop Solutions

Incident Investigations

SIU Investigations

Fraud & Compliance

Vendor Management

Company

Case Studies Blog

Contact Our Team

Let's talk

Refer a Case

Fill out the form or reach out directly.

Your Contact Information

First Name*

Last Name*

Phone*

Email*

Company*

Office Location Street*

Office Location State*

Office Location Postal Code*

Assigner's Physical City*

Assigner's Physical State*

Claimant Details

First Name*

Middle Name

Last Name*

Street Address

Claimant City

State

Postal Code

Social Security #

Phone

Birth Date

Height

Weight

Hair Color

Sex

Physical Description

Vehicle 1 Make / Model

Vehicle 1 State / Tag #

Vehicle 2 Make / Model

Vehicle 2 State / Tag #

Is the subject working? If so, where?

Is the subject on modified duties? If so, please provide schedule/hours/restrictions:

Insured Information

First Name

Middle Name

Last Name

Company

Case Details

Claim/File Number

Date of Loss

What is the alleged injury?

Description of Loss / Restrictions

Loss Location

Occupation

Employer Name

Insured

Carrier

Please provide any additional information:

Type of Claim

Workers Comp

Liability

Property

Disability

Auto

Life & Health

Services Requested

eRemote (Unmanned)

Choose Option

Number of Days (3 days min)

Background Investigation

Choose Option

Medical Canvass

Number of Facilities

Enter Type of Facilities

Social Media Investigation

Choose Option

Choose Option

Choose Option

Surveillance (Manned)

Number of Days

Activity Check

Beneficiary Check

Locate

Underwriting Investigation

Alive & Well Check

Document Retrieval

Scene Investigation

Virtual Interview

AOE/COE

Skip Trace (Database Only)

Widow Check

Asset Check

Please provide additional instructions for your service request:

What is the goal of the investigation?

Attachments (Documentation, Images, etc. - Files should be less than 50 MBs in size){This upload form will go here once we add a site plan}

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Phone

(800) 329-4143

Email

info@deltagroup.net

Mailing Address

1397 Buford Business Blvd
Suite 500
Buford, GA 30518

Services

eRemote®Traditional Surveillance Desktop Solutions Incident Investigations SIU Investigations Fraud & Compliance Vendor Management

Company

About us Careers Contact

resources

Blog Case Studies

© XXXX Delta Group. Fully Licensed and Insured.

FL: A9800320

GA: PDC001539