Apply Today – Funded Tomorrow Your Application For Lawsuit Settlement Loans Starts Here! Loans For Lawsuits Are Easy To Apply For! YOUR INFORMATIONFirst Name:*Last Name:*Best Phone #:*Email Address:* State:*StateAlabamaAlaskaArizonaCaliforniaConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMichiganMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificYOUR CASE INFORMATIONType of Case:*Amount Requested:*Amount Requested$1000$2,000$3,000$4,000$5,000$6,000$7,000$8,000$9,000$10,000$15,000$20,000$25,000$30,000$35,000$40,000$45,000$50,000$55,000$60,000$65,000$70,000$75,000$80,000$85,000$90,000$95,000$100,000$150,000$200,000$250,000$300,000$400,000$500,000$750,000$1,000,000Very brief description of accident/incident:*Law Firm And Case Manager InformationLawyer/Law Firm:*State of Law Firm:*State of Law FirmAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCase Manager Name:Case Manager Email: - To expedite your approval please provide your case manager and email address. -The case manager is the person responsible for handling all your documents. This could be your paralegal or your lawyer. -By entering your information and your law firms information, you authorize Legal-Bay, LLC to send a document request to your law firm to expedite your funding request.This field is hidden when viewing the formsequenceThis field is hidden when viewing the formDate of Accident/IncidentThis field is hidden when viewing the formEmail Address of Lawyer: This field is hidden when viewing the formLaw Firm Phone:This field is hidden when viewing the formPrior Lawsuit Funding?Prior Lawsuit Funding?YesNoThis field is hidden when viewing the formCity:By entering my mobile number, I agree to receive reminders and marketing texts from Legal Bay, LLC at (973) 834-5840. Message + data rates may apply. Reply STOP to unsubscribe. Please view our terms and conditions and privacy policy.NameThis field is for validation purposes and should be left unchanged.
