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We'll start processing your application immediately!

Name*:    Email*:
Home Phone #:    Cell #:
Address:    City:
State:    Zip:
DOB:    Date of accident:

Describe Accident:

Describe Injuries Sustained:

Have you engaged an attorney? Yes    No


Is your injury covered by Workers' Compensation? Yes    No

Amount Requested:   Amount of Claim:
   
       

You can also use these methods to submit your documents:

Regular Mail, UPS or FedEx:
LawMax Legal Finance
459 Columbus Avenue, Suite 299
New York, New York 10024-5129


Call us toll free at 1-877-253-5538
Fax us your application: (212) 480-3674
E-mail us your application: info@lawsuit-loan-lawsuit-loans.com


 
Apply Now!
We realize that people apply for lawsuit loans because they need the money! So we’ve expedited the entire process. You can apply online here or give us a call at 877-253-5538.
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