SIU Consulting Group

Investigation Order Form

Thank you for choosing SIU Consultant Group for your investigation needs. Please complete the below referral form. Claim information will be securely submitted and a Case Manager will contact you shortly.

You can also register online, which enables you to check the status of all open cases, open new investigations, view reports, view case notes, view streaming video and listen to recorded audio. Click here to register. If you need immediate assistance or have any further questions, please call us at (888)748-1130.

    Client Information

  1. Assignment Information

  2. Services Requested

  3. Employee Only
    Employee
    Witnesses
    Employer
  4. Attachment

  5. NOTE: You may submit claim documents, photos and or medical records.

  6. Claim Information







  7. (Please provide any additional information)
  8. Enter Security Code Below

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