Client Funding Intake Form

General Info

Thank you for applying on behalf of your client. By going with National Lawsuit Funding you are using a direct funder, not a broker/middle-man.

Case Info

We just need a small bit of information in regards to the case. For smaller funding's (under 2k), this is probably all we need. For larger amounts, this is a good start.

Document Upload (optional)

Purely optional at this time. For smaller funding's, we will probably never need it. On larger amounts, we want to do an initial review before seeing what documents we will need.
Max file size 10MB.
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Police Report
Max file size 10MB.
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Medical Report
Max file size 10MB.
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Complaint
Max file size 10MB.
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Any other documents you want us to review
thank you

👍
Thank you for your submission!

Matt and his team will review within one business hour.

If you, or the client, want to expedite the process we are always welcoming to a phone call from
you/client.

Matt Clark
National Lawsuit Funding
215–885-3700
Matt@nationallawsuitfunding.com

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