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Policy Search Form

Please fill out the form below to submit a policy search request.

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Policy Search Form

Policy Search Request Form

Form Sections

Requester Information Submit Case Information Request Type Defendant's Information Insurance Information Additional Information

Need Assistance?

+1 (623) 398-5333

contact@newleafhelp.com

Requester Information

Law Firm

Law Firm Address

Requestor's Name

Requestor's Phone Number

Requestor's Email

Additional Email Address for Results (optional)

Submit Case Information

What type of research do you need?

Only Limits Policy Existence Asset Search Standalone Umbrella

We charge a minimum fee of $150.00 for inconclusive results. If a policy related to the accident or injury is discovered, the full amount will be invoiced.

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

Yes No

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)

Yes No

Brief description of the incident

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?

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 / Renters

Commercial General Liability

(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

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

Standard Processing

12 Business Hours

6 Business Hours

Defendant's Information

Please provide as much information as possible.

Defendant's Name

Defendant's Date of Birth

Defendant's Address

Defendant's Phone Number

Defendant's Drivers License

Vehicle Make and Model

VIN Number

Is Defendant information the same as Policyholder information?

Yes No

Name of Policy Holder

Policyholder's Address

Policyholder's Phone Number

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

Adjuster's Name

Adjuster's Phone Number

Additional Information

Supporting Documents

Additional Notes

I acknowledge I will be charged for processing this request

Signature*

Your policy search request has been sent. Thank you!

New Leaf Services

9393 N 90th Street, Suite #102 #540

Scottsdale, AZ 85258

Email: contact@newleafhelp.com

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