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- 1 - Instruction: This is a model letter. Adapt to fit your facts and circumstances. R e: Fee A gre em en tD ear < clie n t> :A s w e d is c u sse d , p le ase in dic ate y our a g re em en t to th e fo llo w in g fe e a g re em en t b y s ig nin g in th e sig n atu re b la n k b elo w . If y ou d o n ot c o m ple te ly u nd ers ta n d th e a g re em en t, p le ase d is c u ss w ith m e prio r t o s ig nin g.------ --- ------- F E E A G REEM EN T In co n sid era tio n o f th e le g al se rv ic es to b e re n dere d b y T he L aw O ffic e o f (h ere in afte r re fe rre d to a s " L aw F ir m ") fo r a n y c la im th at < clie n t's n am e> (h ere in afte r re fe rre d to a s " C lie n t" ), ma y h av e a g ain st th e p artie s re sp onsib le fo r in ju rie s a n d/o r d am ag es s u sta in ed b y th e c lie n t o n o r ab o ut < date > , t h e c lie n t d oes e m plo y s a id L aw F ir m t o c o m men ce a n d p ro se cu te s u ch c la im . C li e n t a g re es to p ay , a n d h ere b y a ssig n to L aw F ir m , a lie n o f < 33% > o f a ll a m ounts r e co vere d o n beh alf o f C lie n t b y se ttle m en t b efo re th e filin g o f a la w su it o r o th er c o urt a ctio n, < 40% > o f a ll am oun ts r e co vere d a fte r th e f ilin g o f a la w su it o r o th er c o urt a ctio n b ut p rio r to tr ia l; a n d < 50% > o f all a m ou nts r e co vere d o r a w ard ed u pon t r ia l o r i f s e ttle d a fte r p re p ara tio n f o r t r ia l b y a tto rn ey . A r e ta in er f e e o f D olla rs , ( $ ), s h all b e p aid u pon e x ecu tio n o f th is a g re em en t, w hic h su m s h all b e c re d ite d a g ain st a n y r e co very , b ut, in th e e v en t o f n o r e co very , s h all n ot b e r e fu nded . La w F ir m a n d C lie n t a g re e th at n o a tto rn ey -c lie n t re la tio nsh ip s h all e x is t u ntil L aw F ir m h as b een paid t h e i n itia l r e ta in er f e e. A ll n ecess a ry c o sts a n d e x pen se s in th e p ro se cu tio n o f th e c ase s h all b e th e r e sp onsib ility o f th e Cli e n t. If L aw F ir m a d van ces f u nds o n b eh alf o f th e C lie n t f o r a n y c o sts o r e x pen se s, C lie n t a g re es to r e im burs e L aw F ir m f o r s u ch a d van cem en ts . A ll e x pen se s a n d c h arg es o f a n y n atu re m ad e in c o nju nctio n w ith th e c ase a re n ot litig atio n c o sts an d w ill b e p aid b y C lie n t. I n th e e v en t o f a r e co very , C lie n t a g re es th at L aw F ir m m ay p ay a n y o f th ese u n paid b ills f ro m C lie n t's s h are o f t h e r e co very . I f C lie n t r e co vers n oth in g, i t i s u nders to od t h at La w F ir m i s n ot b ound t o p ay a n y o f t h ese e x pen se s. L aw F ir m , i n i ts a b so lu te d is c re tio n m ay w ith dra w a t a n y t im e f ro m t h e c ase u pon n otic e t o C lie n t if in vestig atio n d is c lo se s n o b asis fo r fu rth er a ctio n o n b eh alf o f C lie n t, o r if th ere is n o in su ra n ce co v era g e. A ss o cia te c o unse l m ay b e e m plo yed a t t h e d is c re tio n a n d e x pen se o f L aw F ir m . 2 Clie n t a g re es n ot to c o m pro m is e th e c la im w ith out th e L aw F ir m 's c o nse n t a n d L aw F ir m is n ot au th oriz ed t o d o s o w ith out t h e c o nse n t o f t h e C lie n t. T he f e e f o r s e rv ic es r e n dere d b y L aw F ir m d oes n ot in clu de th e p erfe ctin g o f a n a p peal o n b eh alf of th e c lie n t o r th e r e p re se n ta tio n o f th e C lie n t if a n a p peal h as b een p erfe cte d b y th e a d vers e p arty . Fe e s f o r a p peal s h all b e s u bje ct t o r e n eg otia tio n b etw ee n L aw F ir m a n d C lie n t. C lie n t a g re es t o k eep t h e L aw F ir m a d vis e d o f h is w here ab outs a t a ll t im es a n d t o c o opera te i n t h e pre p ara tio n an d tr ia l of th e case , to ap pear on re aso nab le notic e fo r dep ositio ns an d co urt ap p eara n ces, an d to co m ply w ith all re aso nab le re q u ests m ad e of him in co nnectio n w ith th e pre p ara tio n a n d p re se n ta tio n o f t h is c ase . C lie n t h ere b y a u th oriz es L aw F ir m to p ro vid e a ll in fo rm atio n, in clu din g d octo r's r e p orts , h osp ita l re c o rd s, e tc ., a n d a n y a n d a ll p ic tu re s t o t h e i n su ra n ce c o m pan y o r t h e a tto rn ey f o r t h e a d vers e p arty . N O R EPR ESE N TA TIO N H AS B EEN M ADE R EG ARD IN G W HAT A M OUNT, IF A NY, CL IE N T M AY BE EN TIT LED TO REC O VER IN TH IS CA SE , NOR HAVE ANY WA RRA NTIE S B EEN M AD E R EG ARD IN G T H E O UTC O M E O F T H IS M ATTER . A gre ed t o b y: _ _____________________________ Date : _ ________________ S ig natu re o f < nam e o f c lie n t> N OTE: T H IS I S Y OUR A GREEM EN T. I T P R O TEC TS B O TH Y OU A ND Y OUR A TTO RN EY . IT IS D ESIG N ED T O P R EV EN T M IS U NDER ST A NDIN G. IF Y OU D O N OT U NDER ST A ND IT O R IF IT D OES N OT C O NTA IN A LL T H E A GREEM EN TS W E D IS C U SSE D , P L EA SE DIS C U SS I T W IT H M E. - ----- --- ------I th an k y ou f o r tr u stin g m e w ith th is im porta n t m atte r a n d lo ok f o rw ard to w ork in g w ith y ou o n th is ca se .S in cere ly ,___ ___ __________________