Post-Settlement Funding Application

Post-settlement financing happens once the claims are resolved. At that point you can take an advance on their post-settled case.

All information is strictly confidential.

Post Settlement Funding Application

Case Name:

Attorney Name: *

Attorney Phone: *

Fax Number:

Attorney Email: *

Attorney Address: *

City: *

State: *

Zip Code: *

Ineligible States:
Alaska, Arizona, Arkansas, Colorado, District of Columbia, Hawaii, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Oklahoma, Rhode Island, South Dakota, Tennessee, West Virginia, Vermont

Plaintiff Name: *

Email:

Phone: *

Address: *

City: *

State: *

Zip Code: *

Settlement Amount: *

Request amount: *

How many days do you expect it will take to disburse the payment on the settlement: *

Are there presently any liens from other non-recourse companies? * YesNo

Does the client have a child support lien? *YesNo

Please upload the following documents for review, if applicable:

A copy of the signed Settlement document or the Release.
A copy of the Closing Statement indicating the amount your client is to receive.
Written confirmation stating your office is to receive the settlement check for disbursement.
A copy of the non-recourse advance contract.

Upload your supporting documents here:

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Supporting Document Files: CSV, DOC, DOCX, JPG, JPEG, PNG, PDF, PPTX, TXT, ZIP