Mass tort intake form template
Mass tort campaigns live or die on criteria fit: the right exposure, the right diagnosis, inside the right dates, not yet represented. This intake runs those four screens in order, so a Camp Lejeune, talc, or device campaign delivers claimants who match the litigation profile instead of a list to re-screen by phone. AI generates the flow per campaign, on demand.
AI builds it from the recipe below in about 60 seconds
7 days, no credit card
AI builds this one for you
The recipe below is already specced. Press generate and AI assembles your copy of it, on your branding, with the logic wired in.
What's inside this template
Four eligibility screens and a verified contact step, specced so each new tort swaps in its own criteria. Screening-before-contact is the ordering the 34% platform average is built on.
- 1
Exposure type
The drug, device, product, or site at issue. Phrased per campaign, and the first disqualifier.
engagement_firstbuyer_qualification - 2
Diagnosis
The qualifying conditions for this tort, selected from a list matched to the case criteria.
buyer_qualification - 3
Treatment dates
Exposure and diagnosis windows checked against the dates the litigation actually covers.
buyer_qualification - 4
Legal representation
Already-signed claimants filter out before they cost a retainer packet.
conditional_routing - 5
Contact details, verified
Claimant name, email, and phone close the intake, live-checked, consent above the submit.
email_verifyphone_verifytcpa_consent
Built to deliver qualified leads
Same ad spend. Capture 2X the qualified leads. Tort marketing spends fortunes per signed claimant, and criteria screening at the form is the cheapest place to double yield: every mismatch filtered on-page is a packet, a call, and a review that never gets wasted. The screening-first structure averages a 34% conversion lift across platform funnels.
Criteria-true claimants
Exposure, diagnosis, and date answers arrive structured against the campaign profile, ready for retainer review.
Lead scoring →Multi-tort routing
One intake property can screen for multiple torts, routing each claimant to the matching campaign.
Distribution & routing →A consent trail per claimant
Documented consent plus TrustedForm or Jornaya certificates travel with every file to co-counsel.
Lead gen compliance →Mass tort marketing notes
Built into every generated campaign flow:
- No outcome or settlement-value language in template copy
- Medical answers stay categorical, selected from lists, never free-text histories
- One-to-one consent above the submit, with certificates for referral co-counsel
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Frequently asked questions
How do I set up a new tort campaign?
Describe the tort and its criteria to the generator, exposure, qualifying diagnoses, date windows, and it assembles the screened intake into your account.
What is a qualified mass tort lead?
A qualified lead is one with a verified email, a verified phone, enriched data, and a Contact Score above your threshold, checked before the visitor leaves the page. Criteria-match answers, exposure, diagnosis, dates, layer the tort screen on top.
Can near-miss claimants be preserved?
Yes. Files that miss one criterion can capture unbilled into a review list, useful when litigation criteria widen later.
Go deeper on legal lead gen
Start capturing qualified mass tort leads
Generate your campaign intake and start screening on-page today.