Establishing secure connection…Loading editor…Preparing document…

Kentucky Attorney Fee Election

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Form 109

Attorney Fee Election

Adopted March 15, 1995

DEPARTMENT OF WORKERS CLAIMS

FRANKFORT, KENTUCKY 40601

STANDARD FORM FOR
ATTORNEY FEE ELECTION

State's File:

Number Carrier:

or: Employer:

Carrier's File No.

I hereby certify that my attorney has fully explained to me my options regarding the payment of attorney fees. I hereby select the following method:

A.

B.

C.

plaintiff herein, being duly sworn, states that

the statement of the foregoing election is true.

Plaintiff

SUBSCRIBED AND SWORN to before me this day of

Notary Public or other authorized officer

I hereby certify that I have fully explained the provisions of KRS 342.320 to my client.

Attorney for Plaintiff

Enter text

What the Kentucky Attorney Fee Election Is

The Kentucky Attorney Fee Election is a formal written statement used to record an attorney's selection of the fee arrangement that will apply to a client matter. It clarifies whether fees will be charged as contingency, hourly, flat, or under a statutory allocation, and documents percentage, cap, or billing terms for use in client files, court filings, or settlements.

Why documenting the attorney fee choice matters

A clear fee election reduces disputes, improves client notice, and creates an auditable record for courts and payers. When executed electronically, it also meets ESIGN (15 U.S.C. ch. 96) and UETA (1999) standards where applicable, supporting enforceability and retention.

Why documenting the attorney fee choice matters

Who commonly completes a Kentucky Attorney Fee Election

Use the form to create a concise, portable record that supports billing, settlement disbursement, and any subsequent audit or court review.

  • Attorneys and law firms: Prepare the election to document fee method, percentage, and limits and to satisfy court or client disclosure obligations.
  • Clients and claimants: Review and consent to the fee method and terms before signing to create a clear mutual agreement.
  • Courts, trustees, and payers: Receive the election as part of settlement, probate, or judgment paperwork to determine fee distribution.

Primary signers and stakeholders

Attorney

The signing attorney is typically the drafter and must accurately state the fee arrangement and any conditions. Their signature authorizes billing under the stated terms and may be relied upon by courts and payers when distributing settlement proceeds.

Client / Claimant

The client verifies consent by signing or electronically acknowledging the election. Client signature confirms understanding of rates, contingency percentages, and any payment timing, which reduces later ethical or malpractice disputes.

Step-by-step: completing the fee election

Follow these steps to produce a complete, court-ready fee election and avoid common processing delays.

  • 01
    Gather documents: Collect client ID, case number, retainer agreement, and settlement terms.
  • 02
    Choose fee option: Decide contingency, hourly, or flat fee and compute percentage or rate.
  • 03
    Fill and review: Complete each field precisely; have client and supervising attorney verify entries.
  • 04
    Sign and distribute: Obtain signatures, notarize if required, and send to court/payer/record as needed.

Configuring the online form workflow

Configure the form for consistent processing and secure distribution when using an eSignature platform or case-management system.

Field mapping Map form fields to case-management metadata for automated filing
Authentication Require email+SMS OTP or stronger methods for signer verification
Template Save as a reusable template for similar case types
Routing order Set sequential routing: attorney → client → court/payer
Audit retention Enable automatic audit-trail capture and export

How electronic completion and submission typically flow

A typical e-submission workflow moves the draft from preparation to signed, distributed, and stored with a full audit trail.

  • Upload document: Import PDF or DOCX into the e-sign platform
  • Place fields: Add signature, date, and conditional fields for fee details
  • Send to signers: Notify attorney and client with signed routing
  • Store and deliver: Platform generates signed copy and audit certificate

Delivery channels and platform needs

Ensure the chosen platform supports secure storage, audit trails, and any required regulatory compliance such as a HIPAA BAA if applicable.

  • Integrations: Connect with Salesforce, Microsoft 365, NetSuite, Google Workspace
  • File formats: Support for PDF, Word DOCX, and export to case-management systems
  • Authentication options: Email link, SMS OTP, KBA, and advanced signer verification

Typical timelines and processing expectations

Timing depends on case posture and whether the election must be filed with a court, payer, or trustee. These are common milestones to track.

Effective date:

Date entered in the form determines when fee obligations begin

File with court:

File as part of settlement or probate packet per local rules

Payer processing:

Allow 7–30 business days for payers or settlement administrators to review

Notary / RON retention:

If notarized, retain audio/video or journal records per notary rules

Record copies:

Provide signed copies to client, payer, and firm for retention

Key milestones in processing a fee election

Sequential milestones help ensure timely payment and compliance from drafting through final distribution.

01

Draft completed

Form prepared and reviewed internally before client review

02

Client consent obtained

Client signs and acknowledges fee method and percentage

03

Notarization or authentication

Apply notarization or electronic authentication if required by payer or court

04

File and distribute

Submit to court, trustee, or payer and keep copies for records

Consequences of errors or omissions

Invalid signature: May render the election unenforceable
Missed filing: Delays in payment or denial by payer
Incorrect disclosure: Ethics or malpractice exposure
Tax withholding: Possible backup withholding or reporting issues
Fee disputes: Client litigation over percentage or calculation
Record failures: Inability to produce required audit trail

Common preparation mistakes to avoid

  • Using vague terms such as 'reasonable fee' without explicit percentage or formula leads to ambiguity and potential dispute.
  • Failing to match the client name or case number exactly to court records can delay distributions or cause rejection by payers.
  • Omitting required authentication or notarization when a payer or local rule mandates it will require re-execution and slow payment.
  • Not retaining an audit trail or original signed copy can complicate audits, fee disbursement, and post-closing accounting.

Real-world examples of fee-election use

Two practical scenarios show how a Kentucky Attorney Fee Election functions in common case types.

Civil Settlement Use

An attorney documents a 33.33% contingency on a contested personal-injury settlement

  • The client signs electronically after a review period
  • The signed election is included with the settlement packet to the payer and retained in the firm file for audit and distribution.

Probate Distribution

A firm elects a flat fee for probate administration in a decedent’s estate

  • Executor and court receive the signed election as part of closing documents
  • The election clarifies billing during estate administration and speeds approval of attorney compensation.

eSignature vendor comparison for executing fee elections

A concise pricing and capability comparison shows common vendor options for eSigning and storing attorney fee elections; signNow is listed first per platform selection rules.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varied by plan Varied by plan Varied by plan Varied by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

FAQs and troubleshooting for Kentucky Attorney Fee Elections

Answers to common practical and legal questions about execution, authentication, filing, and retention for fee elections in Kentucky.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users