Attorney Client Application

Plaintiff Funding Application

00_attorney_client_application

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

If you are human, leave this field blank.

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States Where We Do Not Fund:

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