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Factel
(800) 780-9888

 
   

Thoughts

"The smaller the mind, the greater the conceit."

Aesop, Greek skave and fabulist

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Order Form 

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Order Information

NOTE:   Informational services are available to insurance professionals.  If  you are a company or independent adjuster, claims investigator, self-insured, managing agent or defense attorney, the entire range of Factel services are available to you. Factel  services are NOT available to other persons or entities, or for any purpose other than insurance applications.

*Client Name:
Company Name:
Address:
City, State Zip
*Order Date:
*Phone Number:
Fax Number:
E-mail address:
Delivery Method:

Claim Number:
Loss Date:
Account Number:


An Account number is required before an order can be filled. Please refer to Establish an Account.

 

Subject Information

Full Name:
Address:
City, State Zip
Zip Code:
Date of Birth:
Social Security No.:
Drivers License Number:
Tag or VIN Number:

 

Individual 1-Hour Services 
(
unless otherwise indicated)
Click on the service title for a description.

By Mail 1-Hour/Fax or e-mail
1. Vehicle Registration Name Index  $22.00 $29.00
2. Vehicles Registered in the Same Household $29.00 $35.00
3. Florida Auto Tag Registration or VIN #Check $22.00 $29.00
4. Vehicle Title History  (Service charge of $19.00,
                                              plus copies @ $2.00/page
)
CALL N/A
5. National Driving Records (Most states available - 
                                                      call for pricing
)
CALL CALL
6. Florida Driver License Number Locator $22.00 $29.00
7. Florida Driver License Header $25.00 $33.00
8. Florida Driving Record $19.00 $25.00
9. Complete Florida Driving Record $29.00 $35.00
10. Social Security Number Index $19.00 $25.00
11. Alias Name and Address Records $22.00 $29.00
12. Address History $29.00 $35.00
13. Florida Real Property Ownership Search $25.00 $33.00
14. Property Address Index $25.00 $33.00
15. Florida Corporation Records $17.00 $22.00
16. Florida Uniform Commercial Code Records $22.00 $29.00
17. Nationwide Liens and Judgments $29.00 $33.00
18. Florida Fictitious Name Records $17.00 $22.00
19. Occupational License Records $22.00 $29.00
20. Florida Historical Workers' Comp. Index $25.00 $29.00
21. Florida Workers' Comp. Claim Summaries $29.00 $35.00
22. Multi-State Workers' Comp. Claim Index
                (Discontinued Service)
23. Florida Historical Traffic Accident Index
                (1986-1998)
$25.00 $29.00
24. Florida Traffic Accident Report Summaries $29.00 $35.00
25. Traffic Accident Report Copies 
          
(Service charge of $19.00, plus $2.00/page)
CALL N/A
26. Local (single county) Criminal Records $33.00 $39.00
27. Florida Statewide Criminal Record Search $43.00 $49.00
28. National Criminal Record Search $49.00 $55.00
29. Federal Criminal Record Search $33.00 $39.00
30. Florida Litigation Records Index $37.00 $45.00
31. National Litigation Records Index $39.00 N/A
32. U.S. District Court Litigation Index $33.00 $39.00
33. Nationwide Bankruptcy Records $33.00 $39.00
34. Florida Boat Ownership Records $22.00 $29.00
35. Nationwide Aircraft Ownership Records  $22.00 $29.00
     36. See # 62 below
37. Nationwide Death Records Index $22.00 $29.00
38. Florida Marriage Records Search $22.00 $29.00
39. Florida Divorce Records Search  $22.00 $29.00
40. Business Credit Reports $75.00 $85.00
41. Telephone Number Ownership/Phone Number $19.00 $22.00

Special Discounted Package Services
 
available in 1-Hour unless otherwise indicated
Click on the service title for a description. 

By Mail 1-Hour/Fax or e-mail
Note: Whenever possible, please include a completed release form with orders for or including Hospital Checks or Medical Provider Checks.  Please have the release form completed by the subject and fax, mail or e-mail a scanned copy.  This form conforms with Health Information Personal Privacy Act (HIPAA) consent requirements.   Click on one of the links below to open the release form.    

Click here to open the Release Form in MS Word format.
Click here to open the Release Form in PDF format.      


42. Complete PIP Check $45.00 $55.00
43. Basic Accident History $157.00 $177.00
43p. Accident History-Plus (Same day availability
              if ordered before 2:00pm EST.)
$267.00 $347.00
44. Enhanced Accident History-Plus (Same day
             availability if ordered before 2:00pm EST.)
$297.00 $367.00
45. Special Accident History-Plus (Same day
             availability if ordered before 2:00pm EST.)
$337.00 $397.00
46. Extended Accident History-Plus (Same day
             availability if ordered before 2:00pm EST.)
$467.00 $547.00
47. Basic Background Report  $357.00 $417.00
48. Basic Injury/Background Report (Same day
             availability if ordered before 2:00pm EST.)
$457.00 $497.00
49. The "Big Max" $497.00 $567.00

National Searches and Checks

Most of the following services are available in other states. Please call for availability.

Available in 1-Hour unless otherwise indicated 
Click on the service title for a description

By Mail 1-Hour/Fax or e-mail

Note:
Whenever possible, please include a completed release form with orders for or including Hospital Checks or Medical Provider Checks.  Please have the release form completed by the subject and fax, mail or e-mail a scanned copy.  This form conforms with Health Information Personal Privacy Act (HIPAA) consent requirements.   Click on one of the links below to open the release form.    

Click here to open the Release Form in MS Word format.
Click here to open the Release Form in PDF format.      


50. Basic Locate Report $137.00 $147.00
51. Subro/Asset Report $137.00 $147.00
52. Basic Asset and Liability Report $187.00 $217.00
53. Basic Locate/Asset Report $287.00 $297.00
54. Business Asset and Liability Report $317.00 $387.00
55. Limited Hospital Check  (Same day
             availability if ordered before 2:00pm EST.)
$75.00 $97.00
56. Basic Hospital Check (Same day
             availability if ordered before 2:00pm EST.)
$117.00 $177.00
56e. Enhanced Hospital Check  (Same
              day availability if ordered before 2:00pm EST.)
$147.00 $197.00
57. Standard Hospital Check (Same day
             availability if ordered before 2:00pm EST.)
$187.00 $247.00
58. Extended Hospital Check (Same day
             availability if ordered before 2:00pm EST.)
$317.00 $397.00
59. Basic Accident/Injury Scan (Same day
             availability if ordered before 2:00pm EST.)
$187.00 $247.00
60. Medical Provider Check  (Call for availability)  CALL CALL
61. Pharmacy Checks  (Call for availability)     CALL CALL

Economy Services
 
available in 1-Hour unless otherwise indicated
Click on the service title for a description. 

By Mail 1-Hour/Fax or e-mail
62. Comprehensive Florida Criminal Check  $77.00 $97.00
63. Special Florida Civil Records Check $57.00 $77.00
64. Mini Asset Report $77.00 $107.00
65. Florida Mini-Accident History $77.00 $107.00
66. Florida Mini-Accident History Plus (Same day
             availability if ordered before 2:00pm EST.)
$147.00 $187.00

Before you complete your order, 
Please note any special instructions below.

 

If the above information is correct       

If the above information is not correct  

Remember...
Your Satisfaction is Guaranteed!

Although it is not possible to control what information is or is not contained in the millions of different sources we access, we do take pride in our service. That is why our assurance to you is uncompromising. If you are not completely satisfied with any service we'll work until you are - or there is no charge. We sincerely appreciate the opportunity to be of service. 

Copyright 2005 Factel, Inc.®