Settlement Loan Application

All fields marked with an asterisk (*) are required. If you require assistance, please contact us at 1-888-800-4966.

Please note we can only lend to applicants represented by a lawyer.

Need a lawyer? Contact us for a recommendation from our extensive network of leading law firms across Canada.

Who is completing this form?

ApplicantApplicant Representative

Representative Name

Relation to Applicant

Loan Amount Requested ($)

Minimum loan amount: $500 | Do not include $ sign.

Applicant Information

First Name

Last Name

Phone Number

Email Address

Date of Birth

MM/DD/YYYY

Province

Lawyer Information

Law firm:

Lawyer name:

Claim Details

Type of Claim

Date of accident (if applicable)

MM/DD/YYYY

Any other relevant details about your situation (optional):

How did you hear about BridgePoint?

SMS Opt-in

Text me updates regarding my loan application:

Mobile Phone Number

I consent to receiving SMS notifications regarding my application and understand I can opt out at any time. Message and data rates may apply.

By submitting this application I agree and consent to the following:

I certify and declare that the information set out in this Application is true, accurate, and complete. I warrant and acknowledge that the contents of the Application will be relied upon by BridgePoint Financial Services ("BridgePoint") 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 BridgePoint to me. I authorize and provide BridgePoint 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 BridgePoint for the purpose of evaluating and considering my application for BridgePoint's products and services.