Application

  • Street Address
  • Address Line 2
  • City
  • Postal Code
  • Province
  • Please note that we will contact your lawyer to discuss your claim as part of our evaluation process
  • I certify and declare that the information set out in this application form is true, accurate, and complete. I warrant and acknowledge that the contents of the application will be relied upon by Legalender in assessing risk, offering any terms, and providing any loans and will be the basis of and form part of any resulting loan offered by Legalender to me. I authorize and provide Legalender with the necessary consent to independently verify the accuracy of this information for the purpose of evaluating my application, including speaking with, and receiving documentation on my file from, my lawyer. I consent to the collection, use and disclosure of my personal information by Legalender for the purposes of evaluating and considering my application for Legalender services.
  • This field is for validation purposes and should be left unchanged.