Upload your license and sign the authorization.

This takes about two minutes. Your submission goes directly to Long Trial Firm.

Driver's license

Use your phone camera. Make sure the whole license is visible and readable.

Front of license Tap to take or choose a photo

Authorization signature

Turn your phone sideways for the largest signing area.

Important signature note

Please sign as closely as possible to your usual legal signature. A matching signature helps prevent delays when records are requested.

Rotate your phone before signing

The signature pad opens full screen. Turn your phone sideways for the most accurate signature.

I authorize Long Trial Firm to obtain and share my medical information with my legal counsel, medical providers and other vendors to the extent necessary to facilitate my care and/or financial assistance and may use my signature below to obtain the information.