Sample Case

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Subject: Brent Belanger (Sample Case)
Company: Joe Insurance Company
Claim #: E7E7E7
Subject: Brent Belanger
Insured: e7 consulting, inc.
Subject Occupation: Web Designer
Investigation Type: Medical Records with Authorization, Surveillance
Activity Date: 2008-05-28 08:38:32
Creation Date: 2008-05-23 19:32:11
Validation Status: In progress
Validated By: unclaimed
Last Day Worked: 03/20/2008
Trial Date: 09/26/2008
Injury Information: ACL, Right Knee
Document Format: PDF,MSWord
Video Format: DVD
Charge Limit: 2 Days
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2008-05-28 08:15:34 - Investigation Report - View PDF Doc.


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2008-05-28 08:25:05 - Playing Hockey - View WMV Doc.


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2008-05-28 08:30:36
2008-05-28 08:30:21

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Specific Instructions/Comments:

This is just a test case and the information here is for sample purposes only.

Investigation Information
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5555 Longstreet Ave, Wyoming, Michigan 55555

Specific Instructions/Comments:
This is just a test case and the information here is for sample purposes only.

Name: Brent Belanger
Alias(es): Bradshaw, Taz
Other Known Address: 2222 68th Street Caledonia, Michigan 22222
DL#: B555555555555
DOB: 09/26/1974
SS#: 555-55-5555


Race: Caucasion
Height: 5 Ft. 8 In.
Weight: 160 Lbs.
Hair: Brown
Eyes: Hazel
Family Information: Jules Belanger (Grandfather) - Rockford, Michigan
Tattoos: None
Characteristics: Glasses, Scars on right knee & ankle. Scare also on left ankle.
Known Vehicles: Grand Am
Home Phone: (616) 555-5555
Cell Phone: (616) 222-2222
Requestor Company
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Company: Joe Insurance Company
Primary Contact: Joe Adjuster
Secondary Contact: Jill Adjuster
Primary Phone: (616) 777-7777
Alt. Phone: None
Fax: None
Defense Attorney Information
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Attorney Name: Steve Lawmaker
Firm Name: Grand Rapids Law Firm
Phone: (616) 333-3333
Alt. Phone: None


Address: 333 Attorney Lane
Attorney City, MI 33333
Special Notes: Call after 9am

Licensed ~ Insured ~ Bonded

Contact Information

Blue Diamond 
Investigations LLC
PO BOX 6092
Grand Rapids, MI 49516 
Toll Free: 800-883-0255
Phone: 616-957-7800
Fax: 616-957-3292

Members of

Members of Grand Rapids and
Central Michigan
Adjusters Associations