Apply for Pre-Settlement Funding

Complete the form below and a Bridgeway representative will review your case within 24 hours — no credit check, no obligation.

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Fill out the form below to start the process. We will contact you and your attorney within 24 hours. All information is confidential.

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Client Name*

Attorney Name*

Client Phone*

Attorney Phone*

Client E-mail*

Attorney E-mail

Type of Case

Date of Accident

Funding Request Amount

State

Prior Funding

Yes No

Have you borrowed from us before?

Yes No

Phone

Address

1295 Northern Boulevard Suite 22, Manhasset, NY 11030