Legal Client Signature Verification Form

LEGAL CLIENT SIGNATURE VERIFICATION FORM

This Legal Client Signature Verification Form is executed on this day of , by and between Client Name: ("Client") and Legal Firm Name: ("Firm").

RECITALS

WHEREAS, Client has executed one or more documents, instruments, or filings (collectively, the "Documents") delivered to the Firm in connection with legal services to be provided in the matter identified as: ; and

WHEREAS, the Firm requires a contemporaneous verification of the identity of the Client and an attestation that the signature on the Documents is that of the Client or a duly authorized representative of the Client.

WHEREAS, the parties desire to set forth procedures and certifications by which the Firm may rely on the Client's signature for the Documents.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. Definitions

Capitalized terms used in this Form have the following meanings: "Client" means the individual or entity identified above; "Firm" means the legal practice identified above; "Signature" means the handwritten, electronic, stamped or other mark purporting to be executed by the Client on the Documents; and "Verified Copy" means a photographic or digital reproduction of the Client's government-issued identification and specimen signature retained by the Firm pursuant to the procedures set forth herein.

2. Verification Procedures

The Firm or its authorized representative shall verify the Client's identity by inspecting government-issued identification and comparing the Signature on the Documents to the specimen signature of the Client. The verifier completing this Form shall state his or her name and title: , Title: .

Verification was performed on day of , . The type(s) of identification presented were indicated below:

Identification Presented: Driver's License Passport State Identification Card Other

Issuing authority: ID number: Expiration:

3. Client Certification

The Client hereby certifies, represents and warrants that the Signature appearing on the Documents is the Client's own signature or the signature of a person duly authorized to sign on behalf of the Client, and that such Signature was affixed knowingly, voluntarily, and for the purposes stated in the Documents.

The Client acknowledges and agrees that the Firm may rely on a Verified Copy of the identification and specimen signature for the purposes of authenticating Documents and that the Firm's reliance on the verification procedures described in this Form shall be reasonable and binding.

4. Authorized Representative Certification

If the Signature was made by an authorized representative of the Client, the representative certifies under penalty of perjury that he or she has authority to execute the Documents on behalf of the Client and that such authority has not been revoked. Representative name: , Title: .

Representative authorization basis (e.g., power of attorney, corporate resolution):

5. Retention and Use of Verified Copies

The Client authorizes the Firm to retain copies of the identification presented and any specimen signature for the Firm's files. Such Verified Copies may be reproduced, stored, or transmitted as necessary for the Firm's records, court filings, or to satisfy regulatory or professional obligations.

6. Acknowledgement of Electronic or Facsimile Signatures

The Client acknowledges that the Firm may accept the Signature in electronic form, by facsimile, or by scanned image where the Firm has obtained a Verified Copy of the Client's identification and specimen signature. The Client agrees that such electronic or reproduced Signatures shall have the same effect as an original handwritten signature for all purposes.

7. Indemnification

The Client agrees to indemnify and hold the Firm harmless from and against any losses, claims, liabilities, damages, or expenses (including reasonable attorneys' fees) arising from any false representation by the Client regarding the authenticity of the Signature or the authority of any person signing on behalf of the Client.

8. Notices

Any notice required or permitted under this Form shall be in writing and delivered to the addresses set forth below.

9. Amendments; Waiver; Counterparts

This Form may be amended only by a written instrument signed by both the Client and the Firm. No waiver of any provision of this Form shall be effective unless in writing and signed by the party granting the waiver. This Form may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

10. Governing Law; Entire Agreement; Severability

This Form shall be governed by and construed in accordance with the substantive laws of the jurisdiction specified below:

This Form constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. If any provision of this Form is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

11. Execution

The parties certify that the information provided herein is true and correct and that the person signing on behalf of each party has the authority to execute this Form.

Sign Now