Fill Out the Funding Application Form at Buckeye Legal Funding

Contact Info
Attorney Info
Case Details
Your Address

× Attention: To speed up the application process, please fill out as much additional information as you can.

Contact Information

Step 1 of 4

First Name

Last Name

Email address

Cell Phone Number

Allow application status updates via text message

Attorney Information

Step 2 of 4

Law Firm

Attorney's First Name

Attorney's Last Name

Attorney's Phone

Attorney's Email

Referral Code

Case Details

Step 3 of 4

Requested Cash Advance Amount

What type of case do you have?

Date of Birth
- -

Your Address

Step 4 of 4

Street Address

Address Line Two

City

State

Zip Code

Have you received any prior advances on this case with another company?

What is the amount of the prior advance?

What is the name of the company who provided the advance?

Questions? 800-774-7106

+The approval & funding process is contingent upon receipt of all case information.

Disclaimer – There is no minimum repayment amount for any advance from Buckeye Legal Funding, LLC and the obligation to repay advances is contingent upon a successful recovery in their lawsuit. There is no obligation to repay the advance if there is no recovery on their case.

We do not market, offer or make pre-settlement advances in any state where such advances are prohibited by applicable law.

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