Agreement for Representation | Statement of Client Rights

Step 1 of 2

  • FEES:

    As compensation for legal services, I agree to pay said attorney a contingency fee computed as follows:

    (a) 33 1/3% of any recovery up to $1,000,000.00 through the time of filing an answer or the demand for appointment of arbitrators;

    (b) 40% of any recovery up to $1,000,000.00 through the trial of the case;

    (c) 30% of any recovery between $1,000,000.00 and $2,000,000.00;

    (d) 20% of any recovery in excess of $2,000,000.00;

    (e) If all defendants admit liability at the time of filing an answer and request a trial only on damages:
    • (I) 33 1/3% recovery up to $1,000,000.00 through trial;
    • (II) 20% of any recovery between $1,000,000.00 and $2,000,000.00;
    • (III) 15% of any recovery in excess of $2,000,000.00;
    (f) An additional 5% of any recovery after notice of appeal is filed or post-judgment relief or action is required for recovery on the judgment, or $150.00 per hour on any recovery, whichever is greater.


    In addition to the attorney's fees provided for above, I further agree to pay all court costs, expenses of litigation where applicable, as well as any and all out-of-pocket expenses paid or incurred by my attorney for my benefit and hereby authorize said attorney to deduct said amounts from all money collected on my behalf. Any unpaid bills from medical care shall remain the client's obligation.


    The undersigned client has, before signing this contract, received and read the Statement of Client's Rights and understands each of the rights set forth therein. The undersigned client has signed the statement and received a signed copy to keep to refer to while being represented by the undersigned attorney. Client further acknowledges that client has been afforded a full and complete opportunity by attorney to understand each of the rights as set forth therein. Client also acknowledges receipt of an executed copy of this agreement.


    Whenever my attorney deems such procedure appropriate, I authorize my attorney to make a claim for allowance and/or reimbursement to me of all or any portion of such fees and/or costs in addition to other relief which may be available to me. I further understand and agree that all time required by my allowance or reimbursement claim up to the total amount previously paid to me shall be retained by my attorney. I understand and agree that my attorney may render periodic statements to me indicating the current status of my account for out-of-pocket disbursements on my behalf. Each statement shall be due and payable within ten (10) days of the date of the statement.


    I hereby specifically agree that my attorney shall have the right to withdraw from my case if I do not make the payments required by this statement, if I have misrepresented or failed to disclose material facts to my attorney, or if I act in disregard of my attorney's advice. In any of these events, I shall execute substitution of attorneys at my attorney's request.


    If the Client elects to terminate this agreement, the client shall immediately pay all costs and expenses incurred by the Attorney, and in addition, shall pay the Attorney the reasonable value of services performed to date or the appropriate percentage of the last settlement offer, whichever is greater.


    Should the client fail to promptly notify the Attorney of any change of address, the Attorney shall not have any obligation to proceed on the Client's case due to the client's unavailability. If this contract is executed by the injured party and their spouse, the spouse of the injured party acknowledges that should the clients later separate and/or become divorced, their claims would be considered “hostile.” The parties herewith acknowledge that the Attorney employed herein shall represent only the interests of the injured party and said Attorney shall have no further obligation or representation herein to separated or divorced spouses.


    I understand, or have had explained to me, the fact that it frequently becomes necessary for an attorney to make choices of alternatives that may be presented in the course of representation of me. I further understand that full discussion of such alternatives may not be practical or even possible in a given situation. I therefore authorize my attorney to exercise whatever discretion that may be or subsequently become available in the course of representation of me and my said attorney shall not only not be liable to me for any damage sustained by me as a result of such exercise of discretion herein granted, but also covenant and agree to hold my said attorney harmless for any and all loss of damage-sustained while acting on my behalf hereunder.


    The undersigned client hereby makes, constitutes, and appoints the undersigned attorney as the client's agent and attorney-in-fact to act in the client's name, place, and stead, to negotiate and endorse the client's settlement checks/drafts for the purposes of this contract. The client retains the right to make the final decision regarding settlement of the case.


    This contract may be canceled by written notification to the attorney at any time within 3 business days of the date of the contract, as shown below. If canceled, the client shall not be obligated to pay any fees to the attorney for the work performed during that time. If the attorney has advanced funds to others in representation of a client, the attorney is entitled to be reimbursed for such amounts as has reasonably been advanced on behalf of the client.
  • THE NORTH LAW FIRM, P.A. relying upon the above representations, hereby agree to represent the above client in this case.
    DATED This______________________ day of _______________________ , 20_______.
    BY:______________________________ (Attorney's Signation)