Legal Consent to Counsel Form

LEGAL CONSENT TO COUNSEL FORM

This Legal Consent to Counsel (the "Consent") is made effective as of by and between Client Name: whose principal address is (hereinafter "Client"), and Counsel Name: of Firm: located at (hereinafter "Counsel").

RECITALS

WHEREAS, Client desires to retain Counsel to provide legal services in connection with the matter described as:

WHEREAS, Counsel represents that Counsel is duly admitted to practice and is willing to represent Client subject to the terms and conditions set forth in this Consent; and

WHEREAS, the parties wish to set forth their respective obligations, authorities, and consents regarding representation, disclosure of information, and settlement authority.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and for other good and valuable consideration, the parties agree as follows:

1. SCOPE OF REPRESENTATION

1.1 Counsel shall represent Client in the matter described above and perform legal services customary to such representation, including investigation, negotiation, preparation of documents, court appearances, and appeals where applicable. Counsel's authority to act on behalf of Client is limited to the express authorities granted in this Consent and any written retainer agreement between the parties.

1.2 The parties acknowledge that any separate written retainer or fee agreement supersedes any conflicting provisions of this Consent with respect to fees and billing practices.

2. CLIENT ACKNOWLEDGMENTS AND CONSENTS

2.1 Client authorizes Counsel to obtain, review, copy and retain documents and records reasonably necessary to the representation. Client expressly consents to Counsel's communication with third parties (including insurers, opposing counsel, experts, and retained specialists) when reasonably necessary to advance the matter.

2.2 Client consents to the disclosure of confidential information to third parties only as required or permitted by law or as necessary to carry out the representation. Client further authorizes Counsel to discuss the case with, and disclose relevant information to, insurers and co-counsel for the purposes of defense, compromise, or settlement.

3. AUTHORITY TO SETTLE

3.1 Client grants Counsel authority to negotiate settlements on Client's behalf, subject to the following limitation: Counsel may settle any claim up to the amount of without further client authorization.

3.2 If the proposed settlement exceeds the amount specified above, Counsel shall obtain Client's prior written consent before finalizing any settlement. Client understands that Counsel has a duty to communicate all settlement offers.

4. FEES, COSTS, AND EXPENSES

4.1 Fees, costs and billing procedures shall be governed by the parties' separate retainer or fee agreement. In the absence of a separate written fee agreement, Counsel shall bill at customary hourly rates and Client shall remain responsible for all reasonable costs and expenses incurred on Client's behalf.

4.2 Client authorizes Counsel to incur reasonable costs and expenses on Client's behalf. Counsel may require an advance deposit for costs, which shall be held in Counsel's trust account and applied to costs and fees as incurred.

5. CONFLICTS OF INTEREST

5.1 Client certifies that, to the best of Client's knowledge, no conflict of interest exists that would preclude Counsel's representation. Counsel represents that Counsel has conducted a conflicts check and will promptly notify Client if a potential conflict arises. Client expressly consents to any disclosed conflicts as noted below:

Disclosed conflicts or limitations (if any):

6. ELECTRONIC COMMUNICATION AND AUTHORIZATIONS

6.1 Client consents to receiving communications, documents, and invoices from Counsel by electronic means (including email) at the electronic addresses provided below unless Client provides written instruction to the contrary.

6.2 Consent to electronic communication: I consent to electronic communications and authorize Counsel to send case-related communications electronically.

7. NOTICES

7.1 All notices required or permitted by this Consent shall be in writing and delivered to the addresses set forth below or to such other address as either party may designate in writing in accordance with this Section.

8. TERM, WITHDRAWAL, AND TERMINATION

8.1 This Consent shall remain in effect until the conclusion of the matter described herein, unless earlier terminated by written agreement of the parties. Either party may terminate this Consent upon written notice to the other party, subject to ethical obligations and applicable law governing withdrawal from representation.

8.2 Upon termination or withdrawal, Counsel shall take reasonable steps to protect Client's interests, to the extent required by law, and shall deliver to Client any original documents and property to which Client is entitled.

9. GOVERNING LAW; VENUE

9.1 This Consent shall be governed by and construed in accordance with the laws of the State specified below, without regard to conflict of law principles:

9.2 The parties submit to the exclusive jurisdiction of the courts of the State specified above for any disputes arising out of or relating to this Consent, except where mandatory federal jurisdiction applies.

10. ENTIRE AGREEMENT; SEVERABILITY

10.1 This Consent, together with any written retainer or fee agreement expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings.

10.2 If any provision of this Consent is held to be invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect and the invalid provision shall be reformed to reflect the parties' intent to the fullest extent permitted by law.

11. AMENDMENTS; WAIVER; COUNTERPARTS

11.1 No amendment to this Consent shall be effective unless in writing and signed by both parties. Failure or delay by either party in exercising any right or remedy under this Consent shall not constitute a waiver of that right or remedy.

11.2 This Consent may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Signatures transmitted by electronic means shall be deemed original signatures for all purposes.

12. ADDITIONAL CLIENT AUTHORIZATIONS

12.1 Client authorizes Counsel to retain experts, investigators, and other consultants as reasonably necessary to the representation, subject to Client's prior approval when such retention will result in extraordinary expense.

12.2 Client authorizes Counsel to release and obtain copies of Client's medical, employment, financial or other records as reasonably necessary for representation, provided that Counsel shall use reasonable efforts to limit disclosure to information necessary for the matter.

ENTITY TYPE

Please indicate Client entity type: Individual Corporation Partnership Other:

SPECIAL INSTRUCTIONS

By signing below, Client and Counsel acknowledge that they have read and understand this Consent, that Client has had the opportunity to ask questions and obtain clarifications, and that both parties freely agree to be bound by its terms.

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