Legal Intent to File Form

LEGAL INTENT TO FILE FORM

This Notice of Intent to File Claim ("Notice") is delivered by Claimant Name: to Respondent Name: . The effective date of this Notice is: . The Claimant provides the following statement of intent and related demands pursuant to applicable law and to preserve Claimant's rights.

RECITALS

WHEREAS, Claimant asserts that Respondent engaged in actions or omissions that have given rise to a potential claim arising from: Breach of Contract Tort/Negligence Employment Law Other (describe):

WHEREAS, Claimant contends that the events giving rise to the claim occurred on or about: and that Claimant has sustained or anticipates sustaining damages, losses, or other relief as further described in this Notice.

WHEREAS, Claimant seeks to notify Respondent prior to initiating formal legal proceedings and to permit the opportunity for resolution within a stated cure period while preserving all rights.

NOW, THEREFORE

In consideration of the foregoing recitals and intending to be legally bound, the parties are notified of the following.

1. NOTICE OF INTENT TO FILE

Claimant hereby provides formal notice of Claimant's intent to initiate a legal proceeding against Respondent to seek relief for the matters described in this Notice. This Notice neither constitutes the filing of a claim nor a waiver of any procedural or substantive requirement; it is provided to inform Respondent and to attempt resolution prior to institution of litigation.

2. DEMAND, RELIEF, AND CURE PERIOD

Claimant demands that Respondent: (a) cure or remedy the conduct described in this Notice insofar as correction is possible; and (b) tender monetary and/or equitable relief as described below. Unless otherwise agreed in writing, Respondent shall have a cure period of days from the effective date of this Notice to effect a cure or present a written settlement proposal acceptable to Claimant.

Monetary demand (if any): $. Claimant expressly reserves the right to seek additional damages, interest, costs, and attorneys' fees to the fullest extent permitted by law.

3. CLAIM DETAILS

4. PRESERVATION OF EVIDENCE

Respondent is directed to preserve all documents, communications, electronic data, records, instruments, and other tangible items that may relate to the subject matter of this Notice. Failure to preserve relevant evidence may result in evidentiary sanctions, including but not limited to adverse inference, monetary sanctions, or other relief permitted by law.

5. GOOD FAITH SETTLEMENT NEGOTIATIONS

The parties are encouraged to engage in good faith settlement discussions during the cure period. Any settlement communications addressing compromise of the claim shall be treated as settlement negotiations and, to the extent permitted by law, shall be privileged and inadmissible to prove liability. This paragraph does not waive any substantive rights of either party.

6. SERVICE AND NOTICES

Notices required or permitted hereunder shall be in writing and delivered to the addresses below. Service by electronic mail shall be effective only if acknowledged in writing by the receiving party within three business days.

Method of service (check all applicable): Certified Mail Personal Service Email Other:

7. CERTIFICATION AND RESERVATION OF RIGHTS

Claimant certifies, under penalty of perjury to the fullest extent permitted by law, that the statements contained in this Notice are true and correct to the best of Claimant's knowledge, information, and belief. Claimant hereby expressly reserves all rights, remedies, and causes of action, whether presently known or hereafter ascertained, including the right to amend or supplement this Notice and to pursue all available legal and equitable relief.

8. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Notice shall be governed by and construed in accordance with the substantive laws of the jurisdiction specified by Claimant as: , without regard to conflict-of-law principles. This Notice constitutes the entire written statement of Claimant's present intent to file with respect to the matters referenced herein and supersedes any prior written notices on the same subject. If any provision of this Notice is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

9. AMENDMENTS; WAIVER; COUNTERPARTS

Any amendment or modification to this Notice must be in writing and signed by Claimant. Failure by Claimant to insist upon strict performance of any provision shall not be deemed a waiver of subsequent enforcement of that or any other provision. This Notice may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

10. CERTIFICATION OF SERVICE

I certify that on the date indicated below I caused a true and correct copy of this Notice to be served on Respondent in the manner described above.

The undersigned declare under penalty of perjury under the laws of the governing jurisdiction that the foregoing is true and correct.

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