Apply: Workers Comp

Workers Comp Funding Application


Workers Comp Funding Application

Please complete and submit your information below and we will begin processing your request immediately.

This application is for funding requests on workers comp claims ONLY.

✴️ Please use one of these applications if you are a Colorado resident, a North Carolina resident, or you need an advance on any type of legal claim besides workers comp.

Help Us Help You:

Over 90% of all processing delays and unnecessarily denied funding requests are attributable to two things:
1. Applicant fails to answer their phone or return our phone calls, emails, or text messages
2. Failure to provide complete, correct, and correctly spelled full name, phone number, and email address of the attorney assigned to your case

To approve your funding request, we will need to speak to you AND your attorney. Therefore, please answer your phone when we call, or respond promptly to phone messages, emails, or text messages.
Also, if you don’t know all of your attorney’s correct contact info, please take a moment right now, call your law firm, and ask them for it, and then complete your application.

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PLAINTIFF INFORMATION

ATTORNEY INFORMATION

If legal funding is unavailable or my case is ineligible, please email me info about other funding options that may provide immediate assistance.
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