Legal Complaint Package

LEGAL COMPLAINT PACKAGE

This Legal Complaint Package (the Agreement) is entered into on by and between Plaintiff Name: ("Plaintiff"), and Counsel Name: ("Counsel").

RECITALS

WHEREAS, Plaintiff alleges that Defendant Name: committed acts giving rise to legal claims as described in the factual statement below; and

WHEREAS, Plaintiff seeks legal representation to prepare, file, and prosecute a civil complaint in the appropriate court and to obtain relief, including damages, injunctive and declaratory relief as applicable; and

WHEREAS, Counsel has agreed, subject to the terms herein, to prepare and file a complaint on Plaintiff's behalf and to take related actions necessary to pursue the asserted claims.

NOW, THEREFORE

Plaintiff and Counsel agree as follows:

1. AUTHORITY TO FILE

Plaintiff authorizes Counsel to prepare, execute, file and serve a civil complaint and all supporting pleadings, motions and notices necessary to commence and prosecute the action described in this package. This authorization includes the authority to make decisions regarding the form and content of pleadings and to take procedural steps reasonably necessary to effect service and preserve rights pending service.

2. PARTIES, COURT, VENUE AND CASE IDENTIFICATION

3. STATEMENT OF FACTS

Plaintiff hereby provides the following concise statement of facts supporting the causes of action alleged in the complaint. This statement will be incorporated into the initial filing and may be supplemented as discovery proceeds.

4. CAUSES OF ACTION

The complaint will assert the claims identified below. For each cause of action, Plaintiff provides a brief basis and relevant elements to be pled.

If additional causes of action are identified, Counsel is authorized to prepare and file amended pleadings to assert such claims prior to or contemporaneously with initial service, provided Counsel consults with Plaintiff regarding material changes in theory or relief.

5. RELIEF SOUGHT

Jury Demand: Plaintiff demands a trial by jury on all triable issues.

Punitive or exemplary damages sought: Plaintiff alleges facts sufficient to support an award of punitive damages where permitted by law.

6. SERVICE, PROCESS AND NOTICE

Plaintiff designates the following contact information for purposes of service and official notice related to the lawsuit. Counsel may accept service on Plaintiff's behalf where permitted by court rules.

7. VERIFICATION AND AUTHORITY

Plaintiff affirms under penalty of perjury that the facts set forth in the Factual Summary are true and within Plaintiff's knowledge, information and belief. Plaintiff authorizes Counsel to verify any allegations on Plaintiff's behalf and to sign verification or affidavit forms required by applicable court rules.

8. AMENDMENT; WAIVER; COUNTERPARTS

This Agreement may be amended only by a written instrument signed by both parties. No failure or delay by either party in exercising any right shall operate as a waiver, and no waiver shall be effective unless in writing. This Agreement may be executed in counterparts, each of which shall be deemed an original.

9. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Agreement shall be governed by and construed in accordance with the substantive laws of the state identified below, without regard to conflict-of-law principles. This Agreement constitutes the entire understanding between the parties with respect to the subject matter hereof. If any provision of this Agreement is determined to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

10. ATTORNEY OF RECORD

11. ADDITIONAL INSTRUCTIONS

By executing below, Plaintiff certifies that the information provided herein is true to the best of Plaintiff's knowledge, authorizes Counsel to file the complaint and related documents on Plaintiff's behalf, and agrees to cooperate with Counsel in the prosecution of the action.

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