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Application Form

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Application Form

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Canada Law Financing provides litigation loans with interest rates tailored to the risk level of each individual claim. They offer a simple, fast application process — often approving and funding disbursements on the same day, with no application fees. A $200 fee applies only to cash advances.

Application Form

If you’re in need of a legal loan, please complete the application and a representative from Canada Law Financing will contact you. All information you provide will be kept confidential and private. If you need help with the application or have questions, please contact us at application@clfinancing.ca

Who is completing this form?

Applicant

Representative of the Applicant
(if different)

Loan Amount Requested

Date of Birth

Address

Phone Number

Email Address

Have you ever changed your legal name by marriage or otherwise? 

Yes

No

Accident details

Please provide us with a brief description of your accident(s) or occurence(s).

Date of Accident/Occurrence

Province where accident occurred

Please provide us with a brief description of your injuries.

Were you employed at the time of the accident/occurance?

Yes

No

Are you currently employed?

Yes

No

Did the accident or occurence causing harm occur while you were in the course of your employment?

Yes

No

Have you been declared bankrupt or are you undergoing bankruptcy proceedings or are you under a Consumer Proposal?

Yes

No

Do you have any pre-existing litigation loans relating to your legal claim?

Yes

No

Lawyer detail

Lawyers Name

Law Firm

Phone Number

Email Address

Contact at Law Firm other than lawyer (if applicable)

We will contact your lawyer to briefly discuss your claim to evaluate your application.

Thank you! Your submission has been received!

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Canada Law Financing ®

Financial support during your legal journey

Apply Now For Lawyers For Plaintiffs Contact Us

735 Main Street,Suite 100, Moncton, NB, E1C 1E5

info@clfinancing.ca

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