Apply Now – CaseCash

Please fill out this pre-settlement funding application, or call (800) 227-3227. All fields required.

- First Name*
- Last Name*
- How much money do you need?*
- What was the date of your accident?*
- Accident Date
  - Unknown date
- What state is your case in?*
- What kind of case do you have?*
- How did you hear about Case Cash?*
- Email*
- Phone*
- Date of Birth - MM/DD/YYYY*
How should we contact you?*
- Email me!
- Call me!
Text Message Opt In
- I would like to receive text messages regarding my case from Case Cash
Cell Phone*
Are you currently represented by an attorney/law firm?*
Street Address*
- City*
- State*
- Zip Code*
- Your Attorney's First Name*
- Your Attorney's Last Name*
- Law Firm Name*
- CAPTCHA
- Law Firm Phone*
IMPORTANT: Once you've submitted your application you must contact your Attorney and tell them they have your permission to speak to us about your case. Incorrect or incomplete attorney information can lead to a delay and even decline in the application.