Application Form

PLAINTIFF ONLINE APPLICATION


Client Information Section Broker Code
This means the field is required
First Name Required Last Name Required
Address Line 1 Address Line 2
City State
Zip Code Home Phone Required
Cell Phone Email Address
Attorney Information Section
Attorney's First Name Attorney's Last Name
Type of Case Attorney's Office Phone
Attorney's Fax Number Application Amount
 


PLEASE HELP US GET YOU APPROVED FASTER!

Please contact your Lawyers office after sending this Application and tell them to expect a Fax Requesting documentation about your case from GLOBAL. Urge them to send the documents to us as soon as possible. NOTE: We cannot process your Application until your Lawyers office contacts us by phone or fax!

We understand that most clients need their funds quickly and we will make every effort to approve your case for funding within 24 hours of receiving case supporting documentation.

Apply Now and be one step closer to receiving a portion of tomorrows settlement, today!