Tell Us About Your Case
If you are interested in obtaining a cash advance on your lawsuit, please fill in the information below and a representative will be in touch with you shortly.
You may also call us toll-free at (877) 258-6037.
First Name:
Last Name:
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Work Phone:
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Email Address:
Attorney Name:
Attorney Phone:
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Type of Case:
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Automobile Accident
Workers' Compensation
Other (Specify)
If "Other", Specify:
What parts of your body were injured?
Did you have or will you need surgery?
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Yes
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How much money do you need from us?
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