Expertpays is ready for your request
This application is secure and any confidential information will remain confidential. We only use case information for underwriting purposes.
Please fill out this form completely. If you submit an incomplete form we will have to obtain the missing information from you before approving your funding request.
Firm contact
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Tell us about your client
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Tell us about your client
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Tell us about your client
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Tell us about your client & case
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Tell us about your client
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Tell us about your client
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Case type
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MVA prompt
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Additional info about MVA prompt case type
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Premises Liability
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Additional info about Premises Liability case type
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Product defect
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Nursing Home Care
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Additional info about Nursing Home Care case type
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Med Mal
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Additional info about Med Mal case type
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Vocational Assessment
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Vocational Assessment
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Expert report type
Optional fields
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