Legal E Consent Form

LEGAL E CONSENT FORM

This Legal E Consent Form (the "Agreement") is entered into on Effective Date: by and between Client Name: and Provider Name: (each a "Party" and collectively the "Parties").

RECITALS

WHEREAS, the Parties have existing or anticipate entering into transactions, agreements, notices and other records for which electronic delivery and electronic signatures are practical and desirable; and

WHEREAS, the Parties desire to establish the terms under which one or both Parties may provide and receive electronic records and affix electronic signatures with the same legal effect as handwritten signatures on paper;

WHEREAS, each Party is willing to accept electronic notices, records and signatures subject to the terms and conditions set forth below.

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

1. DEFINITIONS

1.1 "Electronic Record" means any document, notice, agreement, disclosure or other information that is created, generated, sent, communicated, received or stored by electronic means. "Electronic Signature" means any electronic sound, symbol or process attached to or logically associated with an Electronic Record and executed or adopted by a Party with the intent to sign the record.

2. CONSENT TO ELECTRONIC RECORDS AND SIGNATURES

2.1 Each Party hereby expressly consents to the use of Electronic Records and Electronic Signatures in lieu of paper documents and handwritten signatures for all matters arising under or related to transactions between the Parties, unless a particular type of document is expressly excluded herein or by mandatory law.

2.2 Electronic Records and Electronic Signatures executed in accordance with this Agreement shall be deemed to satisfy any legal requirement that such records or signatures be in writing or be signed.

3. SCOPE OF CONSENT

3.1 This consent applies to the creation, delivery and receipt of Electronic Records and to the execution and reliance upon Electronic Signatures for the following categories of documents (check all that apply):

Contracts and amendments
Notices and disclosures
Invoices and billing statements
Authorizations and consents relating to personal data
Other (describe below)

4. METHODS OF ELECTRONIC SIGNATURE

4.1 Electronic Signatures accepted under this Agreement include, without limitation, (a) a typed name at the end of an electronic document, (b) a scanned image of a handwritten signature, (c) signatures applied through electronic signing platforms, and (d) any other electronic process agreed to by the Parties that reliably associates the signature with the Party and indicates the Party's intent to sign.

4.2 The Parties agree that an Electronic Signature executed by one Party and transmitted by electronic means shall be binding and admissible in evidence to the same extent as a handwritten signature.

5. HARDWARE AND SOFTWARE REQUIREMENTS

5.1 Each Party represents that it possesses the necessary hardware and software to access, receive and retain Electronic Records in the form provided. By checking the box below, the undersigned confirms the capability to access and retain Electronic Records:

I confirm that I have the necessary hardware and software to access, receive and retain Electronic Records and that I can print or download records as needed.

6. WITHDRAWAL OF CONSENT

6.1 A Party may withdraw consent to receive Electronic Records by providing written notice of withdrawal to the other Party at the address specified in Section 12. Withdrawal of consent will be effective upon receipt, but will not affect the legal validity or enforceability of any Electronic Records or Electronic Signatures executed prior to such withdrawal.

7. RECORD RETENTION AND ACCESS

7.1 The Provider agrees to retain copies of Electronic Records in a manner that accurately reflects the information in the original record and remains accessible for future reference. Upon reasonable request, the Provider will provide a legible copy of an Electronic Record to the requesting Party.

8. REPRESENTATIONS AND WARRANTIES

8.1 Each Party represents and warrants that: (a) it has full power and authority to enter into this Agreement; (b) the individual executing any Electronic Signature on behalf of a Party is authorized to bind that Party; and (c) the execution and delivery of Electronic Records and Electronic Signatures will not violate any other agreement or law applicable to such Party.

9. LIMITATION OF LIABILITY

9.1 Except for willful misconduct or gross negligence, neither Party shall be liable to the other for indirect, incidental, consequential, punitive or special damages arising out of or related to the use of Electronic Records or Electronic Signatures under this Agreement.

10. NOTICES

10.1 All notices under this Agreement must be in writing and sent to the contact address for the receiving Party specified below. Notice is effective upon receipt.

11. AMENDMENTS; WAIVER; COUNTERPARTS

11.1 This Agreement may be amended or modified only by a written instrument signed by the Parties. No failure or delay by a Party in exercising any right under this Agreement shall constitute a waiver of that right. This Agreement 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.

12. GOVERNING LAW; SEVERABILITY; ENTIRE AGREEMENT

12.1 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Jurisdiction specified by the Parties:

12.2 Severability. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

12.3 Entire Agreement. This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written, of the Parties.

13. MISCELLANEOUS

13.1 Remedies. The Parties acknowledge that a breach of this Agreement may cause irreparable harm for which monetary damages may be inadequate, and each Party shall be entitled to seek injunctive relief in addition to any other remedies available at law or in equity.

13.2 Construction. The headings in this Agreement are for convenience only and shall not affect the interpretation of any provision.

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