We
require certain information regarding your claim
or lawsuit for our underwriting process.
Please sign this Records Release, authorizing
your attorney to share information about
your claim or lawsuit with us. |
Dear
Attorney ________________________________________________ |
I/We, the undersigned,
hereby request and authorize your firm to cooperate
and release to
Lawsuit Funding Network, Inc. ("LSFN"),
or its affiliates, * any and all information and
documents pertaining to my/our current claim or
lawsuit, including pleadings, discovery, investigation,
contracts, medical records/report, deposition, and
all other information in the file not protected
by the attorney-client privilege, the work product
doctrine, or other applicable evidentiary privileges
or protections. A copy and/or facsimile of this
release bearing the signature of the undersigned
shall be deemed to be the equivalent of the original. |
| __________________________________ |
__________________________________ |
| __________________________________ |
__________________________________ |
RECORDS
RELEASE : PRINT THIS PAGE, SIGN AND FAX TO YOUR ATTORNEY.: 
