Legal Proof of Representation

LEGAL PROOF OF REPRESENTATION

This Legal Proof of Representation is made effective as of Effective Date: by and between Client Name: and Representative Name: .

RECITALS

WHEREAS, Client desires to engage Representative to provide legal services and act on Client's behalf in the matter described below; and

WHEREAS, Representative affirms that Representative is duly authorized and qualified under applicable rules of professional conduct and licensure to represent Client in the jurisdiction identified herein; and

WHEREAS, the parties wish to set forth in writing the scope, duration and authority of Representative's engagement so that third parties may rely on Representative's authority when dealing with Client's legal matter.

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

1. APPOINTMENT AND AUTHORITY

1.1 Appointment. Client hereby appoints Representative to act as Client's authorized legal representative with respect to the Matter identified in Section 2. Representative accepts such appointment and agrees to act in Client's best interests consistent with this Proof and applicable law.

1.2 Authority. Representative shall have authority to take all lawful actions reasonably necessary to represent Client within the scope specified, including but not limited to: preparing and filing pleadings, engaging in settlement negotiations, receiving and transmitting confidential communications, appearing on Client's behalf before courts, tribunals, and administrative bodies, and entering into agreements related to the Matter when expressly authorized in writing by Client.

2. MATTER AND SCOPE OF REPRESENTATION

Matter Title/Description: Matter/Case Number:

3. TERM; TERMINATION

3.1 Effective Date. This Proof is effective as of Effective Date: and shall continue until the scope is completed or this Proof is terminated in accordance with Section 3.2.

3.2 Termination. Either party may terminate this Proof upon written notice to the other party. Termination shall not affect any actions taken by Representative prior to receipt of notice, nor shall it relieve Client of obligations incurred for services rendered or reasonably performed prior to termination.

4. REPRESENTATIVE'S CERTIFICATIONS AND LIMITATIONS

4.1 License and Authority. Representative certifies that Representative is duly admitted or otherwise authorized to practice in the jurisdiction identified below and that Representative will comply with all applicable professional conduct and licensing requirements.

4.2 Limitations. Representative's authority is limited to the scope set forth in Section 2. Representative shall not settle claims, incur fees or disbursements on behalf of Client, or enter into binding agreements on Client's behalf except to the extent that Client has provided express written authorization or as otherwise permitted by law.

5. CONFIDENTIALITY AND PRIVILEGE

All communications between Client and Representative related to the Matter shall be treated as confidential and privileged to the fullest extent permitted by law. Representative shall take reasonable steps to preserve attorney-client privilege and shall not disclose privileged communications except with Client's consent or as required by law or court order.

6. NOTICES

Notices required or permitted under this Proof shall be in writing and delivered to the addresses listed below or to such other address as a party may designate by written notice in accordance with this Section.

7. FEES, COSTS AND LIENS

Fees and costs for representation shall be governed by any separate fee agreement between Client and Representative. Representative may assert a charging lien or other statutory lien to the extent permitted by law for fees and costs incurred in connection with the Matter and shall provide Client with notice of any such lien in accordance with applicable law.

8. INDEMNITY

Client agrees to indemnify and hold Representative harmless from and against any liabilities, losses, claims, expenses or damages (including reasonable attorneys' fees) arising from Client's instructions or from acts taken by Representative at Client's direction, except to the extent caused by Representative's gross negligence or willful misconduct.

9. MISCELLANEOUS

9.1 Governing Law. This Proof shall be governed by and construed in accordance with the laws of the Jurisdiction:

9.2 Entire Agreement. This Proof constitutes the entire written agreement between the parties concerning the subject matter hereof and supersedes any prior oral or written statements, representations or agreements relating to the same subject matter.

9.3 Severability. If any provision of this Proof is held invalid or unenforceable, the remaining provisions will remain in full force and effect and the invalid provision shall be reformed to the minimum extent necessary to make it valid and enforceable.

9.4 Amendments; Waiver. No amendment or waiver of any provision of this Proof shall be effective unless in writing and signed by both parties. The waiver of any breach shall not constitute a waiver of any other or subsequent breach.

9.5 Counterparts. This Proof may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Electronic signatures and transmission of signed counterparts by electronic means shall be effective to bind the parties.

ACKNOWLEDGMENT

The undersigned certify under penalty of perjury and by their signatures below that they are authorized to execute this Proof on behalf of the party for which they sign and that the information contained herein is true and accurate to the best of their knowledge.

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