Legal Representation Request

LEGAL REPRESENTATION REQUEST

Client Name:    Client Address:

Date of Request:    Attorney/Firm Name:

RECITALS

WHEREAS, Client seeks legal advice and representation in connection with the matter described below and desires to retain Attorney to provide such representation on the terms set forth in this Request; and

WHEREAS, Attorney has represented that Attorney is duly licensed, experienced in the relevant area(s) of law, and willing to undertake representation subject to the terms and conditions set forth herein; and

WHEREAS, the parties intend that this document set forth the scope, fees, and terms under which Attorney will provide legal services to Client.

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

1. SCOPE OF REPRESENTATION

Attorney will provide legal services to Client limited to the matter described as follows: . The scope may include investigation, negotiation, drafting of documents, and court representation as expressly agreed in writing. Services outside the expressly described scope require a separate written agreement.

Representation type (select all that apply):    Transactional    Litigation    General Counsel/Advice    Other:

2. FEES, RETAINER AND BILLING

Client agrees to pay Attorney fees on the following basis: hourly billing at the hourly rates set out below, a fixed fee, or alternative arrangement as specified. Absent a separate written fee agreement, Attorney's hourly rate for lead counsel will be: $ per hour.

Retainer amount (if any): $ . Retainer will be held in Attorney's trust account and applied against fees and costs in accordance with applicable professional rules. Client will replenish the retainer upon request.

3. CLIENT RESPONSIBILITIES

Client will cooperate with Attorney, provide truthful and complete information, produce requested documents in a timely manner, and make timely decisions necessary for representation. Client acknowledges that failure to cooperate may result in withdrawal and that Client remains responsible for fees and expenses incurred to the date of withdrawal.

4. CONFLICTS, CONFIDENTIALITY, AND PRIVILEGE

Client represents that to the best of Client's knowledge there are no conflicts of interest that would prevent Attorney from undertaking the requested representation, except as disclosed below. Client will notify Attorney promptly if Client becomes aware of any potential conflict.

Attorney will maintain client confidences and assert privilege as required by law and the rules of professional conduct. Client acknowledges that communications are privileged, but privilege may be waived by Client and may be subject to compulsory disclosure in legal process or as otherwise required by law.

5. TERMINATION

Either party may terminate this engagement at any time by written notice. Upon termination, Client will pay Attorney for all services rendered and costs incurred through the effective date of termination. Attorney may take steps to protect Client's interests, including seeking court permission to withdraw if required by applicable rules.

6. FILES, RECORDS AND RETURN OF DOCUMENTS

Client may request the return of original documents. Attorney may retain copies of the file and withdraw, destroy, or otherwise dispose of non-original materials in accordance with professional obligations and record retention policies. Ownership of original client documents remains with Client unless otherwise agreed.

7. LIMITATION OF LIABILITY

Except where prohibited by law, Attorney's aggregate liability to Client for any claim arising out of or related to this engagement will not exceed the amount of fees paid by Client to Attorney for the services giving rise to the claim. No claim for consequential or punitive damages will be recoverable.

8. NOTICES

All notices under this Request must be in writing and delivered by hand, overnight courier, or certified mail to the addresses below. Notice will be effective upon receipt.

9. AMENDMENTS; WAIVER

This Request may be amended only by a written instrument signed by both parties. Failure or delay in enforcing any right will not constitute a waiver of that right, and a waiver must be in writing to be effective.

10. GOVERNING LAW; VENUE

This Request will be governed by and construed in accordance with the laws of the state of . The parties submit to the exclusive jurisdiction of the state and federal courts located in that state for disputes arising under this Request.

11. ENTIRE AGREEMENT; SEVERABILITY

This Request, together with any written fee agreement or engagement letter executed by the parties, constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral. If any provision of this Request is held invalid, illegal, or unenforceable, the remaining provisions will remain in full force and effect.

12. COUNTERPARTS

This Request may be executed in counterparts, each of which will be deemed an original, and all of which together will constitute one and the same instrument. Signatures transmitted by electronic means will be binding.

13. ACCEPTANCE

By signing below, Client requests and authorizes Attorney to undertake the representation described herein on the terms set forth. Acceptance by Attorney is effective upon signature by an authorized representative of the firm.

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