Apply OnLine for Legal Funding | We Will Start Processing Your Legal Funding Application Immediately!

Apply OnLine: Legal Funding Application

We'll start processing your legal funding application immediately!

Name *:
Home Phone #:
Cell #:
Email *:
Address:
Date of Birth:
Date of accident or injury:
Describe Accident:
Describe Injuries Sustained:
Are you unable to work at this time?	Yes No
Are you under doctor's care at this time?	Yes No
Amount of funds being requested:
Amount of Claim :
Attorney's Name:
Law Firm Name:
Law Firm Address:
Law Firm Phone #:
Law Firm Fax #:

* - required fields. All information provided is confidential.

You can use these methods to submit documentation

Mail, UPS or FedEx:
LawMax, Ltd.
2255B Queen Street East – Suite 811
Toronto, Ontario M4E 1G3

Fax documents to: 416-203-2436

E-mail documents to: info@lawmax.ca

Questions? Call 800-666-4509.

to find out more,
call us toll-free at 1-800-666-4509.