Application Form
Sunrise Lawsuit Funding
Name
*
First Name
Last Name
Case Type
*
Animal Bite
Auto Accidents
Boy Scouts
Breach of Contract
Camp Fire
Civil Rights
Commercial Litigation
Construction Accident
Discrimination
Essure
FELA (Railroad)
Hernia Mesh
Hip Replacement Lawsuits
IVC Filter
Jones Act-Maritime
Labor Law
Legal Malpractice
Medical Malpractice/Negligence
Motor Vehicle Accident
Motorcycle Accident
Other
PG&E Wildfire
Police Brutality
Premises Liability
Product Liability
Round Up Pesticide
Settled Case
Sexual Harassment/Assault
Slip and Fall
Surgery Funding
TALC
Wage Claim/Loss of Profit
Workers Compensation
Wrongful Death MVA
Wrongful Death Negligence
Wrongful Termination/Discrimination
Case Type if Other
Only enter if other selection above it not an option.
How much money do you need?
*
$500-$500,000
Street Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Email Address
*
Phone Number
*
Attorney's First Name
*
Attorney's Last Name
*
Attorney's Law Firm Name
*
Law Firm Phone Number
*
Application Status SMS Updates
By checking this box, I agree to receive SMS messages about Application Status from Sunrise Lawsuit Funding at 1-800-540-3407. The SMS frequency may vary. Data rates may apply. Text HELP to 1-800-540-3407 for assistance. Reply STOP to opt out of receiving SMS messages
Submit Application
Should be Empty: