Fill and Sign the Contingency Fee Agreement with an Attorney or Law Firmus Form

ATTO R NEY F E E L E TTE R - C O N TIN GEN CY In consid eration of the legal services to be rendered by The Law Office of ___ ____ _______ __ (hereinafter referred to as "Law Firm") for any claim that ___ ____ _______ ___________________________ (hereina fter referred to as "Client"), may hav e against the parties responsible for injuri es and/or damages sustained by the cli ent on or about _______________________, 20_______, the client does employ said Law Firm to commence and prosecute such claim. C lie nt agre es to pay, and hereby assign to Law Firm, a lien of 33% of all amounts re c over ed on behalf of Client by settlement before the filing of a lawsuit or other co u rt action, 40% of all amounts recovered aft er the filing of a lawsuit or other co u rt action but prior to trial; and 50% of all amounts recovered or awarded upon tri al or if settled after preparation for trial by attorney. A retaine r fee of _________________________________________________________ Dol lars , ($______________ ________), shall be paid upon execution of this agreement, whi ch sum shall be credited against any recovery , but, in the event of no recovery, sha ll not be refunded. Law Firm and Client agree that no attorney- client re l atio nship shall exist until Law Firm has been paid the initial retainer fee. All necess ary costs and expenses in the prosecution of the case shall be the res pons ibility of the Client. If Law Firm advances funds on behalf of the Client for any cost s or expenses, Client agrees to reimburse Law Firm for such advancements. A ll expenses and charg es of any nature made in conjunction with the case are not lit igat ion co sts and wil l be paid by Client. In the event of a recovery, Client ag r ees that Law Firm may pay any of these unpa id bills from Client's share of the rec over y. If Client recovers nothing, it is unde rstood that Law Firm is not bound to pay any of the se expenses. Law Firm, in its absolute discretion may withdraw at any time from the case upon not ice to Client if investigation discloses no basis for further action on behalf of Cli ent, or if there is no insurance coverage. Associate counsel may be employed at the disc retion and expense of Law Firm. C lie nt agrees not to compromise the claim wit hout the Law Firm's consent and Law Fir m is not authorized to do so without the consent of the Client. T he fee for services rendered by Law Firm do es not include the perfecting of an app eal on be half of the client or the representation of the Client if an appeal has bee n pe rfected by the adverse party. Fees for appeal shall be subject to ren egot iation between Law Firm and Client. C lie nt agr ees to keep the Law Firm advised of his whereabouts at all times and to coo pera te in the preparation and trial of the case, to appear on reasonable notice fo r de positions and court appearances, and to comply with all reasonable requests ma d e of him in connection with the preparation and presentation of this case. C lie nt her eby authorizes Law Firm to provide all information, including doctor's re p orts , hospi tal records, etc., and any and all pictures to the insurance company or the atto rney for the adverse party. N O REPRESENTATION HAS BEEN MADE REGARDING WH AT AMOUNT, IF ANY, CLIENT MAY BE ENT ITLE D TO RECOVER IN THIS CASE, NOR HAVE ANY WARRANTIES BEEN MADE REGARDING THE OUT COME OF TH IS MATTER. D at e: _________________________ ________________________________________**________________________________________ Pag e - 2 - N OT E: THIS IS YOUR AGR EEMENT. IT PROTECTS BOTH YOU AND YOUR ATTORNEY. IT IS DES IGNE D TO PREVENT MISUNDERSTANDING. IF YOU DO NOT UNDERSTAND IT OR IF IT DOES NOT CON TAIN ALL THE AGREEMENTS WE DISCUSSED, PLEASE DISCUSS IT WITH ME.