Pre-Settlement Funding Application

Get the capital you need to win! Please fill out as much of the form below as you can. Except where indicated, leave blank any questions you cannot answer. If you’re having trouble with this application, call and we’ll take your application over the phone.You will have the ability to upload your supporting documents at the end of the form.All information is strictly confidential.

 

Plaintiff Pre-Settlement Funding

Ineligible States:Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, West Virginia, Wisconsin, Wyoming, and Vermont

2. Has defendant admitted liability?
Was defendant cited in police report?
6. Are there presently any liens from other non-recourse companies?(Required)
7. Is there unreimbursed lost income?

Please upload the following documents for review, if applicable:
  • • Copies of any contracts with other non-recourse companies.
  • • The accident or incident report.
  • • Expert reports/opinions
  • • Written confirmation of liability coverage for the third party.
  • • Medical reports that show causation and extent of injuries.
  • • Treating doctor’s first and final report.
  • • Any consultation reports and/or any post operation summaries.
  • • Test results, such as an MRI or a CT Scan.
  • • If you’ve made a demand, a copy of the letter (without exhibits).
  • • Complaint and all Answers if the case has been filed (without exhibits).

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