Apply for Post-Settlement Attorney Funding

Simply complete the form below and you could be approved for post-settlement funding for your law firm in as few as 24 hours!

Download Funding Forms

You can also download an application for plaintiff funding and fax it to 716-639-8382.

Post-settlement attorney funding application

Attorney/Law Firm Information
Attorney Name
Law Firm Name
Address
City
State
Zip
Phone (main)
Phone (secondary)
Email
Funding Information
Amount Requested

Does the firm have a retainer agreement?
Yes		No

Name of insurance company issuing settlement proceeds (if applicable)


Required Documents and Information
Provide a copy of any pleading, or complete Title of Action below:

Defendant and Funding Information
Defendant Name

Insurance Company

Policy Limits

Excess Insurance Policy Limits

Additional Defendant Information

Defendant Name

Insurance Company

Policy Limits

Excess Insurance Policy Limits

Are there any outstanding judgments or IRS tax liens against the applicant?
Yes		No

If Yes, describe:


Has the applicant been or is the applicant currently involved in a bankruptcy or insolvency proceeding?
Yes		No

If Yes, describe the discharge details:


Has the applicant sought or received funds from any other funding company?
Yes		No

If Yes, provide the company name and amount funded:

APPLY NOW