Settlement Advance for Lost Wages

Need a Settlement Advance? We can help!

Losing time from work due to injuries from an accident not only affects you, but it also effects your family. One of the first things you should do if you are in an accident is seek medical treatment. Do not just decide on your own that you are injured and you have to stay home from work. You need to substantiate your claim with good documentation and one of the best ways to do that is to see a doctor. Make sure that if the doctor tells you to take time off from work you get a medical form from the doctor. Other documentation you may need is a letter from your employer indicating how much time you took off, what your hourly rate of pay is and how many hours you work per week.

Fill out the Settlement Advance form below to see if you qualify for lost wages compensation.

*Name
* Phone
* Email Address
Date that losses began
Amount you feel that you're entitled to
Which of the following issues has caused you to lose wages?
auto accident
lost wages
slip & fall accident
tickets/violations
workers compensation claim
property damage
other


Injured? Fill out this form
*Name
* Phone
* Email Address
Mailing Address
City/State/Zip 
/ /
Country
Date Of Injury
Did someone refer you to us?
Which of the following has affected you? (select all that apply)
auto accident
lost wages
slip & fall accident
tickets/violations
workers compensation claim
property damage
other

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