Apply for a Lawsuit Settlement Loan


Apply Online for a Lawsuit Pre-Settlement Loan

This is the Legal Settlement Loan’s online application.  Here plaintiffs in a pending lawsuit may apply online for a lawsuit pre-settlement loan. Below is an application form that must be completed. Your application will be processed within a few hours of your submission and you can expect an approval or denial response within 24 to 48 hours.

Your attorney will need to be contacted to obtain information related to your case.  We suggest that you notify your attorney after, you submit your application, that a lawsuit pre-settlement loan provider will be contacting him/her. Please review the application instructions and fill out the requested information.

Settlement Loan Application Instructions

1. Please fill out all the fields in the online application.  This helps us get you a response as soon as possible regarding your status.

2. In the personal information section you need to provide at least one telephone number.  It may be a work number, mobile number or home number. We suggest you use the number at which you may be contacted most reliably.

3. When describing the incident and losses/injuries, please be as detailed and accurate as possible. This information is crucial for us to determine the validity of your claim.

4. When applying at Legal Settlement Loans, we ask that you do not apply with any other lawsuit settlement loan providers until you’ve received a response. Multiple inquires to your attorney may be non-productive.

5. When you submit your application, you may see whether it was successfully submitted by viewing the message below the “Submit Your Application” button.

Online Application

Personal Information

First Name: Middle Initial: Last Name:

Address:

City: State: Zipcode:

Home Phone: - -

Work Phone: - -

Cell Phone: - -

E-Mail Address:

Attorney Information

First Name: Middle Initial: Last Name:

Attorney's Firm Name:

Firm Address:

City: State: Zipcode:

Attorney's Phone: - -

Attorney's Fax: - -

Lawsuit Case Information

Date of Incident\Accident\Injury: / /

Describe the Incident below (Provide good details)

Describe any injuries, losses or damages below (Provide good details)

How many accident-related lawsuits do you have pending at this time?

Have you ever been injured in an accident for which a lawsuit was filed before this case?

 Yes  No

If yes, please explain:

Did you lose time from work as a result of your injuries?  Yes  No

If yes, how much:

Have you received any advances from another funding company against this or any other lawsuit?

 Yes
 No

If yes, how much:

When was the case funded?

Name of Funding Company

Are there any other liens against this case? (e.g., Medical, Workman’s Comp, IRS, etc.)  Yes  No

If yes, Which One?

Have you ever filed Bankruptcy?
 Yes No

If yes, when?

Cash Loan Amount Requested:

(note: Enter "max" above for maximum amount receivable)

Authorization to Contact Attorney

I hereby request and authorize Legal Settlement Loans and/or funding sources in its network to contact my attorney to obtain relevant non-privileged case information for purposes of completing a funding request. I understand that these parties are subject to a strict confidentiality agreement. Additionally, I authorize my attorney to share his/her candid opinion regarding my case

Type your full name *:

Today’s date *:

  Records Release Authorization

Confidentiality Agreement

Terms and Conditions

 I verify that I have read the Terms and Conditions completely and agree to them in full.*

* fields are required.

You can verify your application was received or if there was an error by viewing the message underneath the "submit your application button" after you submit your application. You'll get a reply within 24-48 hours regarding your application status. However, most applicants receive a reply the same business day.