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Date of Request

Requester Information

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Law Firm Address

Street Address

Street Address Line 2

State / Province

Postal / Zip Code

Requestor's Name

Requestor's Phone Number

Requestor's Email

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Submit Case Information

What type of research do you need?

Only Limits Policy Existence Asset Research Satndalone Umbrella

Would you like to purchase the Umbrella if found? (Bundle)

Yes No

Plaintiff's Name and Case Number

Date of Loss

Is this case currently in litigation?

Yes No

What is the date this case was filed?

Request Type
Please note: Hours of operation are 9am - 6pm Central Standard Time Monday - Friday. All processing times are subject to Four Pillars Research's standard hours of operation

Is the research on a policy covering an individual (personal policy), or commercial entity (business)?

Personal Auto Commercial Auto Homeowner's Commerical General Liability

How quickly do you need the results? (Please see additional pricing for rush cases on our website )

Standard Processing 2 Business Days 12 Business Hours 6 Business Hours

(Personal Research) Information Requested

Policy Limits Policy Number UM / UIM Limits Standalone Umbrella Limits (Umbrella Limits Only) Homeowner's Limits

(Commercial Research) Information Requested

Policy Limits Policy Number UM / UIM Limits

Defendant's Information
Please provide as much information as possible.

Defendant's Name

Defendant's Date of Birth

Defendant's Address

Street Address Line

Street Address Line 2

Postal / Zip Code

Defendant's Phone Number

Defendant's Drivers License

Vehicle Make and Model

VIN Number

Is Defendant information the same as Policyholder information?

Yes No

Insurance Information

Insurance Carrier (Level 2 Carriers 7-10 business days / Level 3 may take up to 10-24 business days)

Policy Number

Claim Number

First Name

Last Name

Adjuster's Phone Number

Additional Information

Supporting Documents

Signature

Additional Notes

Submission Form

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Has your Law Firm worked with us before?

Promo Code

How did you hear about us?

Search Engine
Phone Call
Referral
Listserv
Other

Who Referred You?

Please type another option here

Requester Information

Law Firm

Law Firm Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Requestor's Name

Requestor's Phone Number

Requestor's Email *

Enter additional email address for results to be sent to.

Submit Case Information

What type of research do you need?

Only Limits
Policy Existence
Asset Research
Standalone Umbrella

Policy Existence Update:

In an effort to speed up Policy Existence cases, we have moved away from our nonrefundable deposit. Instead, will bill a minimum of $150.00 for any inconclusive findings. If a policy associated to the accident or injury is found, then the full amount will be invoiced.

You agree to the charges of the Policy Existence from the statement above.

What are you requesting search on for the Policy Existence?

Defendant
Policy Holder
Vehicle
Home Address

Would you like to purchase the Umbrella if found? (Bundle)

Plaintiff's Name and Case Number

Date of Loss

Is this case currently in litigation?

What is the date this case was filed?

What is the county this case was filed in?

Request Type

Is the research on a policy covering an individual (personal policy), or commercial entity (business)?

Personal Auto
Commercial Auto
Homeowner's
Commerical General Liability

How quickly do you need the results? (Please see additional pricing for rush cases on our website )

Standard Processing
2 Business Days
12 Business Hours
6 Business Hours

(Personal Research) Information Requested

Policy Limits
Policy Number
UM / UIM Limits
Standalone Umbrella Limits (Umbrella Limits Only)
Homeowner's Limits

(Commercial Research) Information Requested

Policy Limits
Policy Number
UM / UIM Limits

Defendant's Information

Please provide as much information as possible.

Defendant's Name

Defendant's Date of Birth

Defendant's Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Defendant's Phone Number

Defendant's Drivers License

Vehicle Make and Model

VIN Number

Is Defendant information the same as Policyholder information?

Name of Policy Holder

Policyholder's Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Policyholder's Phone Number

Insurance Information

Please provide as much information as possible.

Insurance Carrier (Level 2 Carriers 7-10 business days / Level 3 may take up to 10-24 business days)

Policy Number

Claim Number

Adjuster Name

First

Last

Adjuster's Phone Number

Additional Information

Supporting Documents

Additional Notes

Signature *

Clear Signature

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Request Form

Requester Information

Submit Case Information

Policy Existence Update:

Request Type

Defendant's Information

Insurance Information

Additional Information

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