Case Identification
Full case number, hearing date(s), insurer and employer names, and the tribunal or administrative division handling the matter; accurate identification avoids misrouting.
Clear, well-documented fee petitions protect client interests, ensure compliance with agency rules, and reduce the risk of fee denial or delay by the insurer or workers' compensation judge.
Primary users include claimant attorneys preparing fee petitions, injured workers approving agreements, and insurance claims personnel reviewing requests.
An attorney who represents the injured worker, drafts the fee petition, compiles time and billing entries, and submits the request to the workers' compensation agency or hearing examiner for approval.
The client who signs the fee agreement and must confirm understanding of the fee structure; their approval is often required for the tribunal to authorize payment.
Full case number, hearing date(s), insurer and employer names, and the tribunal or administrative division handling the matter; accurate identification avoids misrouting.
A clear description of the fee arrangement (contingency percentage, hourly rates, or statutory fee) and any contractual caps or splits with co-counsel.
Summarize hours, tasks performed, and dates for significant attorney work; attach time records or logs to substantiate the requested amount.
Signed fee agreement and client declaration that they understand and consent to the fee; client signature often required for tribunal approval.
Disclose any medical liens, Medicare/Medicaid interests, or third-party subrogation claims and attach supporting documentation of amounts owing.
Attach a proposed order or judgment language for the tribunal to adopt; this accelerates processing and clarifies payment routing instructions.
Submit petition as soon as settlement or award is final.
Serve insurer and known lienholders before or upon filing per tribunal rules.
Allow time for administrative review and possible hearing scheduling.
Be aware of the agency's appeal period for orders; missing it may foreclose remedies.
Plan for processing time between approval and disbursement.
| Criteria | Fee Petition | Private Agreement |
|---|---|---|
| Approval Required | no (between attorney and client) | |
| Public Record | often yes | private between parties |
| Insurer Review | typically not required | |
| Enforceability | agency order controls | contract law governs |
| 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 | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes (Business Premium) | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA required) | Yes | Yes | No | No |