Legal Solicitation Application

LEGAL SOLICITATION APPLICATION

This Legal Solicitation Application (the "Application") is submitted on this date: Month Day Year by and between Applicant Name: (Applicant) and Solicitation Authority: (Authority).

RECITALS

WHEREAS, Applicant seeks written authorization from Authority to engage in specified solicitation activities for legal services within the geographic and procedural scope set forth in this Application; and

WHEREAS, Authority is vested with the power to review and permit such solicitation subject to applicable professional conduct rules, public safety requirements, and Authority oversight; and

WHEREAS, the parties desire to set forth the terms, conditions and certifications necessary for issuance of an authorization to solicit legal business under the conditions specified below.

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

1. DEFINITIONS

For purposes of this Application: "Solicitation" means any direct or indirect effort by Applicant to communicate with one or more prospective clients for the purpose of obtaining legal engagement; "Materials" means written, electronic, audio or visual content used in connection with Solicitation; and "Rules" means applicable rules of professional conduct, public safety requirements and any regulations adopted by Authority that govern solicitation practices.

2. APPLICATION INFORMATION

Individual Corporation Limited Liability Company (LLC) Limited Liability Partnership (LLP) Other

3. SOLICITATION PLAN

Applicant shall provide a detailed plan describing the proposed Solicitation activities, including timing, locations, materials, and scripts. Applicant submits the following summary and attachments and acknowledges that approval, if granted, will be limited to the methods and materials approved by Authority.

In-person communications Mailings Electronic (email, text) Telephone Door-to-door

Proposed Effective Period: Start Date: Month Day Year End Date: Month Day Year

4. REPRESENTATIONS AND WARRANTIES

Applicant represents and warrants under penalty of perjury that: (a) all information provided in this Application and accompanying materials is true, complete and accurate; (b) Applicant possesses all licenses, registrations and credentials required by law and by any applicable professional authority to perform the activities described; (c) Applicant will not employ misleading, coercive, or otherwise unlawful statements or omissions in any Solicitation; and (d) Applicant will promptly notify Authority in writing of any material change to any representation contained herein.

5. COMPLIANCE WITH LAWS AND RULES

Applicant shall at all times comply with applicable statutes, rules of professional conduct, privacy laws, and all regulations promulgated by Authority governing Solicitation. Applicant acknowledges that approval may be conditioned on adherence to specific restrictions and that any breach may result in immediate suspension or revocation of authorization.

6. INSURANCE AND FINANCIAL RESPONSIBILITY

Applicant shall maintain professional liability and general liability insurance in amounts sufficient to satisfy claims arising from Solicitation activities and shall provide proof of insurance upon request. Applicant further agrees to remain financially responsible for any fines or penalties imposed as a direct result of Applicant's noncompliance.

7. BACKGROUND CHECKS AND DISCLOSURE

Applicant consents to background checks, credential verification and criminal-history inquiries as may be required by Authority. Applicant affirms that all disclosures herein are complete and authorizes Authority to share results of such checks with relevant oversight bodies if required.

Has Applicant been convicted of a felony or a misdemeanor involving moral turpitude? Yes No

8. FEES AND COSTS

Applicant shall pay any non-refundable application fee and any monitoring or renewal fees assessed by Authority. Failure to timely pay fees may result in denial, suspension or revocation of authorization.

9. TERM, RENEWAL AND REVOCATION

Authorization, if granted, shall be limited to the Effective Period set forth above and may be subject to renewal upon timely submission of a renewal Application and payment of any fees. Authority may suspend or revoke authorization immediately upon a determination that Applicant has violated any provision of this Application, the Rules or applicable law.

10. NOTICES

All notices required or permitted under this Application shall be in writing and delivered by hand, certified mail, or overnight courier to the addresses set forth below or to such other address as a party may designate in writing.

11. AMENDMENTS AND WAIVER

This Application may be amended only by a written instrument executed by both parties. No waiver by either party of any breach shall constitute a waiver of any subsequent breach.

12. MISCELLANEOUS

Governing Law: This Application shall be governed by and construed in accordance with the laws of the jurisdiction in which Authority is located, without regard to its conflict of law principles. The parties submit to the exclusive jurisdiction of the courts of that jurisdiction for resolution of disputes arising under this Application.

Entire Agreement: This Application, together with any documents incorporated by reference and any conditions set by Authority in writing, constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior negotiations and agreements.

Severability: If any provision of this Application is held invalid or unenforceable, the remaining provisions shall continue in full force and effect and the parties shall endeavor in good faith to replace the invalid provision with a valid provision that most closely approximates the intent and economic effect of the invalid provision.

CERTIFICATIONS

By signing below, Applicant certifies under penalty of perjury that the information provided in this Application is true, complete and correct to the best of Applicant's knowledge, that Applicant consents to the terms set forth herein, and that Applicant understands that false statements may be grounds for denial, suspension or revocation of any authorization and may subject Applicant to penalties under law.

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