One Source Plaintiff Funding | Personal Injury Funding | Litigation Funding

Now it’s easy to help your clients gain access to cash…in advance of their settlement. One Source can provide your client’s relief from financial hardship. A cash advance from One Source can provide you with the time you need to negotiate the best possible settlements for your clients.

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Attorney Application

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Law Firm
Attorney First Name	*
Attorney Last Name	*
State Bar No.
Firm Address
City
State	*
Zip Code
Firm Specialty
% of Practice that is Personal Injury
Email
Telephone Number	*
Fax Number
Was there a previous attorney on this case?	Yes No
If yes, who?

Client Name
Date of Accident/Incident	* (mm/dd/yyyy)
Defendant’s name
Defendant’s insurance company
Policy Limits
Settlement Offer
Valuation Range	to
Estimated no. of months until Settlement
Advance cash desired
Describe Accident

Describe Injuries


Amount Medical Bills
Who is paying Medical Bills?
Property Damage amount
Was client employed at time of the accident?	Yes No
Is client able to work at this time?	Yes No
Has client declared bankruptcy?	Yes No
Does client have any convictions for Fraud?	Yes No
Is client incarcerated now?	Yes No
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The information you obtain at this site is not, nor is it intended to be, legal advice. It is possible that the information provided at this site will not be applicable in your state or jurisdiction. Transmission of the information is not intended to create, and receipt does not constitute, an attorney-client relationship between any parties. You should consult with a qualified attorney, licensed to practice in your state regarding your individual situation.