Settlement Loan Program
Details
No Out of
Pocket or Up-Front Fees
No Job O.K.
- Bad Credit O.K.
Approvals
- As Quick As 2 days
If You
Don't Win...You Pay Nothing
Terms -
Starting at 2.9% Per Month
No
Payment Until Case is Settled
Apply for a
settlement loan by submitting the info
below. We will evaluate your
application promptly.
NOTE :
WORKMAN'S COMP FUNDING NOT AVAILABLE IN: AZ,
DE, CA, HI, MD, MA, MI, ME, MN, NH, NE, NH, NV,
NY, OR, OH, PA, TX, TN, UT, WI.
*
Birth Date:
mm/dd/yyyy
Social Security. #:
* Telephone
1:
(
Telephone 2:
(
Address:
City:
* State:
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip:
Country:
USA
Canada
E-mail:
* Case Type:
Select Type
Auto Accident
Commercial Litigation
Construction Accident
Dog Bite
Employment Discrimination
Maritime Claim (Jones Act)
Medical Malpractice
Premises Injury
Product Liability
Qui Tam (Whistle Blower)
Rail Road (FELA)
Sexual Harassment
Slip and Fall
Toxic Tort
Workers Comp
Wrongful Death
Wrongful Termination
Other
* Amount
Requested ($1,000 minimum.):
$
* Previous
Funding?:
Previous Funding
Amount, If Any?:
$
*
Lawyer's Name:
*
Lawyer's Phone:
(
Lawyer's Fax:
(
Incident Date:
* Incident
Description:
* Injuries
Suffered:
Authorization to Release *
Submit Application ►
