Apply Now Let's Get Started 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?*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificWhat kind of case do you have?*SelectAuto AccidentWorkers' CompensationSlip and FallOtherSocial Security/DisabilityHow did you hear about Case Cash?*Select OneFacebookGoogleLaw FirmRadioTVWord of MouthOtherEmail* 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?*Select OneYesNoStreet Address*City*State*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Your Attorney's First Name*Your Attorney's Last Name*Law Firm Name*CAPTCHALaw 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.