Please fill out our online form to submit your application for financial assistance.

We will assist you in finding the right funding through our network of lending providers. Currently, our lending providers only fund clients with personal injury, commercial or civil litigation cases that are taken on a contingency fee basis. The final determination as to whether your case warrants funding will be made by one of the providers in our network. Please do not contact our office to inquire about your application status as we do not evaluate your application. We will notify you which one of our providers, if any, is evaluating your application and whom to contact. If you have any questions regarding this process, please email us at info@legalfish.com.

If you are a lawyer or law firm interested in our non-recourse loan programs for your practice, please contact us at 312.706.8080 or services@legalfish.com for more information and an application. LegalFish provides access to litigation funding for your select commercial, civil, and personal injury-related cases.

Applicant Name:
Email:
Address:
City:
State:	Zip:
Day Phone:	( ) -
Night Phone:	( ) -
Date of Birth:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 19101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920000000
Attorney Name (if applicable):
Attorney's Address:
Attorney's City:
Attorney's State:	Zip:
Attorney's Phone:	( ) -
Attorney's Fax:	( ) -
Date of Incident (if applicable):	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 1980198119821983198419851986198719881989199019911992199319941995199619971998199920002001 20022003 20042005 20062007 20082009
Was a lawsuit filed?	YesNo
Describe the nature of your legal issue:
Amount of Request:
Additional Comments:
Enter Security Code from the image shown at left of the below text box: