Attorney Client Funding Request

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Plaintiff Funding Request

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State of Residence

Cartiga does not provide funding in this state

First Name

Last Name

Phone Number

Date of Birth

Social Security Number

Approved Funding Amount

Accident Type

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States Where We Do Not Fund:

Arizona, Arkansas, Colorado, Idaho, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Dakota, Vermont, West Virginia, Wyoming