Including attorney info, important dates, and amount needed.
About You
About your case
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Let's get started.There is no fee to apply, and you owe us nothing if you lose your case. Questions? Call us at 800-377-4934
First Name
Last Name
Email
Phone
What state do you live in?
What kind of case do you have?
Are you currently working with an attorney on this case?
Including attorney info, important dates, and amount needed.
Attorney's First Name
Attorney's Last Name
Law Firm Name
Law Firm Phone
How much money do you need?*
What is the accident date ?*
Unknown Date
Details about your case
Important: Please provide accurate attorney name and contact information – we can’t approve your funding without it. Once you’ve submitted your application, please contact your attorney and tell them they have your permission to speak to us about your case.
Finalize your request Confirm your address and contact preferences to submit.
Address
City
State
Zip Code
How should we contact you?
How did you hear about Apex?
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