Legal Representation Form

LEGAL REPRESENTATION FORM

This Legal Representation Agreement (the Agreement) is entered into as of Effective Date: by and between Client Name: with primary address: , and Attorney/Firm Name: with primary office address: .

RECITALS

WHEREAS, Client seeks legal representation in connection with the matter described as: (the Matter); and

WHEREAS, Attorney is duly licensed and authorized to practice law and has represented to Client that Attorney possesses the experience and expertise to provide legal services related to the Matter; and

WHEREAS, the parties desire to set forth in writing the terms and conditions under which Attorney will provide legal services to Client.

NOW, THEREFORE

In consideration of the mutual covenants set forth below, the parties agree as follows:

1. SCOPE OF REPRESENTATION

1.1 Attorney will provide legal services for the Matter, which shall include legal advice, preparation and filing of pleadings, negotiations, court appearances, and other customary legal tasks reasonably necessary to pursue the objectives identified by Client. Services do not include representation in unrelated matters except by separate written agreement.

1.2 Attorney may, with Client's consent where required by applicable rules, associate other attorneys, paralegals, or experts to assist in the representation.

2. CLIENT COOPERATION AND DUTIES

Client shall cooperate fully with Attorney, provide truthful and complete information, produce documents and records reasonably requested, attend meetings and hearings, and promptly respond to communications. Failure to cooperate may constitute grounds for termination of representation.

3. FEES, RETAINER AND BILLING

3.1 Fee Arrangement (select applicable):
Hourly fee Flat fee Contingency fee

3.2 Hourly Rates (if applicable): Attorney rate: per hour; Paralegal/Staff rate: per hour. Time is billed in increments of 0.1 hour unless otherwise agreed.

3.3 Retainer: Client shall pay an initial retainer in the amount of to be held in Attorney's trust account and applied against fees and costs as billed. Client acknowledges that payment of a retainer does not guarantee results.

3.4 Billing and Payment: Attorney will render itemized statements at least monthly. Payment is due within thirty (30) days of invoice. Unpaid balances may accrue interest at a rate of and may be grounds for suspension of services.

4. COSTS AND EXPENSES

Client shall reimburse Attorney for disbursements and costs reasonably incurred in connection with the Matter, including but not limited to filing fees, court costs, deposition costs, expert fees, travel, courier, photocopying and long-distance telephone. Attorney may request periodic deposits to cover anticipated costs.

5. CONFIDENTIALITY AND ATTORNEY-CLIENT PRIVILEGE

Communications between Client and Attorney are subject to the attorney-client privilege and shall be maintained in confidence except as necessary to carry out the representation or as otherwise required by law or authorized by Client in writing.

6. CONFLICTS OF INTEREST

Attorney represents that, to the best of Attorney's knowledge after reasonable inquiry, no conflict of interest exists that would materially impair Attorney's ability to represent Client. Client agrees to disclose any known potential conflicts. If an actual conflict arises that cannot be cured, Attorney may withdraw consistent with professional rules.

7. TERMINATION

Either party may terminate this Agreement at any time upon written notice. Upon termination, Client shall remain responsible for payment of fees and costs incurred prior to termination and for reasonable time spent to conclude or transition the Matter.

8. SETTLEMENT AUTHORITY

Attorney shall obtain Client's informed consent prior to entering into any settlement or disposition of the Matter. Client expressly authorizes Attorney to negotiate settlements but not to accept any settlement without Client's express approval.

9. NOTICE

Notices shall be effective upon receipt when delivered in person, by certified mail, return receipt requested, or by nationally recognized overnight courier to the addresses specified above (or subsequent addresses provided in writing).

10. AMENDMENTS, WAIVER AND COUNTERPARTS

This Agreement may be amended only by a written instrument signed by both parties. No failure or delay in exercising any right under this Agreement shall operate as a waiver. This Agreement may be executed in counterparts, each of which shall constitute an original and all of which together shall constitute one instrument.

11. GOVERNING LAW

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.

12. ENTIRE AGREEMENT

This Agreement, together with any engagement letter or fee schedule expressly incorporated herein, constitutes the entire agreement between the parties concerning the subject matter and supersedes all prior negotiations, understandings and agreements.

13. SEVERABILITY

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect to the fullest extent permitted by law.

ADDITIONAL PROVISIONS

By signing below, the parties acknowledge that they have read, understand, and accept the terms of this Agreement and that Attorney has made no guarantees as to the outcome of the Matter.

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