Legal IFP Document

In Forma Pauperis Representation Agreement

This In Forma Pauperis Representation Agreement (the Agreement) is entered into on between Client Name: and Attorney/Firm Name: .

RECITALS

WHEREAS, Client desires to prosecute or defend a legal matter identified as Case Name: in Court: under Case Number: .

WHEREAS, Client has represented that Client lacks sufficient funds to pay filing fees, service costs, or related litigation expenses and seeks leave to proceed in forma pauperis; and

WHEREAS, Attorney is willing to provide representation subject to the terms set forth below and conditioned on the court's grant of in forma pauperis status or other fee waivers.

NOW THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

1. SCOPE OF REPRESENTATION

1.1 Attorney will provide legal representation to Client limited to the matter identified above. Representation does not include appeals, bankruptcy proceedings, administrative hearings, or unrelated matters unless specifically agreed in writing.

1.2 Attorney will exercise professional judgment in the conduct of the litigation, including the filing of motions, negotiation of settlements, and selection of legal strategy, consistent with the rules of professional conduct.

2. APPLICATION FOR IN FORMA PAUPERIS; CERTIFICATION

2.1 Client represents and certifies under penalty of perjury that Client's financial information provided to Attorney and to the court is true and complete to the best of Client's knowledge. Client will promptly provide any additional information reasonably requested to support the in forma pauperis application.

2.2 Attorney will prepare and submit the in forma pauperis application on Client's behalf and will include such supporting declarations and financial documentation as Attorney deems necessary. Attorney makes no guarantee that the court will grant in forma pauperis status.

3. CLIENT OBLIGATIONS

3.1 Client shall provide complete and accurate financial disclosures, cooperate with Attorney, attend necessary meetings and hearings, and timely execute documents required for prosecution or defense of the matter.

4. ATTORNEY OBLIGATIONS

4.1 Attorney will represent Client in good faith, maintain confidentiality, and provide regular updates on significant developments. Attorney will not enter into settlement without Client's informed consent except as otherwise authorized in writing.

5. COSTS, EXPENSES, AND FEE ARRANGEMENTS

5.1 If the court grants in forma pauperis status and waives filing fees, Attorney's representation will proceed without attorney's fees charged to Client for services described in Section 1. Any counsel fees, if later recovered from an opposing party or insurer, shall be governed by subsequent agreement executed by the parties.

5.2 Client acknowledges responsibility for non-waived litigation costs and expenses (e.g., expert fees, deposition costs, courier fees) unless otherwise agreed in writing. Any obligation to reimburse Attorney for advanced costs will be specified in a separate written agreement.

6. DISCLOSURES AND REPRESENTATIONS

6.1 Client represents that Client has disclosed all sources of income, assets, liabilities, and household composition that bear upon the in forma pauperis determination. Client agrees to notify Attorney within three business days of any material change in financial circumstances.

7. CONFLICTS; WITHDRAWAL

7.1 Attorney shall perform a conflicts check. If a conflict arises that materially impairs Attorney's ability to represent Client, Attorney may withdraw consistent with ethical obligations and court rules. Client agrees that Attorney may withdraw if Client's representations prove false or if Client fails to cooperate.

8. TERMINATION

8.1 This Agreement terminates on conclusion of the identified matter, by mutual written agreement, or upon withdrawal or substitution of counsel approved by the court. Sections that by their nature survive termination will remain in effect.

9. INDEMNIFICATION; LIMITATION OF LIABILITY

9.1 Except for willful misconduct or gross negligence, Attorney will not be liable to Client for incidental, special, or consequential damages arising from the representation. Client shall indemnify Attorney for liabilities incurred as a result of Client's fraud, misrepresentation, or breach of this Agreement.

10. NOTICES

10.1 Notices required or permitted under this Agreement shall be in writing and delivered to the addresses below by hand delivery, courier, or first-class mail (postage prepaid) or by email where electronic confirmation of receipt is available.

11. AMENDMENTS; WAIVER

11.1 No amendment to this Agreement will be effective unless in writing and signed by both parties. No delay or failure to enforce any provision shall constitute a waiver unless executed in writing by the waiving party.

12. GOVERNING LAW

12.1 This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflicts of law principles.

13. ENTIRE AGREEMENT

13.1 This Agreement, together with any separate fee or cost advance agreements executed by the parties, constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral.

14. SEVERABILITY

14.1 If any provision of this Agreement is held to be invalid or unenforceable, such holding shall not affect the remaining provisions, which shall continue in full force and effect.

15. COUNTERPARTS; ELECTRONIC SIGNATURES

15.1 This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Signatures transmitted by electronic means shall be binding as original signatures.

CERTIFICATION UNDER PENALTY OF PERJURY

I certify under penalty of perjury under the laws of the State indicated in Section 12 that the foregoing financial statements and representations made to Attorney and to the court are true and correct to the best of my knowledge.

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