Apply Now - Case Capital | Fast Legal Funding Application

Legal Funding Application

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Application Progress Step 1 of 3

Basic Info Case Details Review

Started Application

Case Details Added

Application Complete

Step 1: Basic Information

Let's start with a few details so we can reach you securely.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Preferred Language

Progress automatically saved

Your information is confidential and will never affect your credit score.

Step 2: Case Details

Tell us a bit about your case so we can match you with the right specialist.

Type of Case *

Personal Injury

Car accidents, slip & fall, medical malpractice

Employment Law

Wrongful termination, discrimination, harassment

State Where It Happened *

Brief Description of Your Case (Optional)

When was your case filed?

Leave blank if not yet filed

Attorney Information

Do you currently have an attorney? *

Yes No

Did you receive medical treatment?

Yes No

Requested Funding Amount (USD)

Optional - Enter the amount of funding you're seeking

How did you hear about us?

Step 3: Review & Submit

Please review your information before submitting your application.

Personal Information

Case Information

Terms and Conditions

I agree to the Terms of Service and Privacy Policy. I understand that this is not a loan but a purchase of a portion of my legal case proceeds. I authorize Case Capital to contact my attorney to discuss my case and verify the information provided in this application. I consent to receive communications from Case Capital via phone, email, and SMS regarding my application and account.

Electronic Signature

Type your full name to electronically sign this application *

By typing your name, you are providing your electronic signature and agreeing to all terms.

Date:
IP Address: Will be recorded for security

Application Ready to Submit

You'll receive a confirmation email and hear from our team within 24-48 hours.

Apply for Legal Funding Now

Legal Funding Application

Step 1: Basic Information

Step 2: Case Details

Attorney Information

Need an Attorney?

Step 3: Review & Submit

Personal Information

Case Information

Terms and Conditions

Electronic Signature

Application Submitted Successfully!

What Happens Next?

Need Help with Your Application?

Phone Support

Email Support

Frequently Asked Questions