Motion Request Form

MOTION REQUEST FORM

Client Name:

Request Date:    Case Name:

Court:    Case Number:

Proposed Hearing Date:

WHEREAS

WHEREAS, Client has engaged Provider to prepare, review, and, if authorized, file motions and related pleadings in the referenced matter; and

WHEREAS, the parties desire to set forth the requested scope and terms under which Provider will prepare the specific motion identified in this request and the financial arrangements applicable to that work; and

WHEREAS, Provider is authorized to act on behalf of Client only as expressly set forth in this form and any subsequent written direction signed by both parties.

SCOPE OF WORK

Describe the motion requested, the factual and legal basis to be asserted, and any supporting exhibits or declarations to be prepared:

Motion to Dismiss    Motion for Continuance    Motion for Summary Judgment

Other:

PAYMENT TERMS

Fee Amount (flat fee or estimated):

If hourly, Hourly Rate:    Retainer Due Now:

Late Payment Fee:    (percent of unpaid balance per month)

Payments shall be due in accordance with the payment schedule set forth above. Provider may suspend work, decline to file pleadings, or withdraw representation for nonpayment after providing the notice required under applicable ethical rules and this form.

TERM AND TERMINATION

Effective Date:    Anticipated End Date:

Notice to Terminate:    (Client or Provider may terminate upon written notice; Provider will complete work in progress and bill pro rata for services rendered through termination date.)

Provider may terminate immediately for cause, including material breach of this form, failure to timely pay fees, or per applicable professional responsibility rules.

CONFIDENTIALITY

All nonpublic information exchanged between the parties in connection with the preparation or filing of the motion shall be treated as confidential. Provider shall not disclose Client confidences except as necessary to perform the services, to the extent compelled by law, or as required by professional obligations. This confidentiality obligation survives termination of this form.

GOVERNING LAW

This Motion Request Form and any dispute arising from it shall be governed by the laws of the state of , without regard to conflict-of-law principles.

ENTIRE AGREEMENT

This form, together with any fee or engagement letters expressly incorporated in writing, constitutes the entire agreement between Client and Provider with respect to the requested motion and supersedes all prior proposals, communications, and understandings, whether written or oral. Any amendment must be executed in writing and signed by both parties.

CERTIFICATIONS

By signing below, Client certifies that the factual information provided to Provider in connection with this request is true and complete to the best of Client's knowledge and that Client authorizes Provider to take the actions described herein, subject to the terms of this form.

Client certifies accuracy of information and authorizes Provider to proceed consistent with this Motion Request Form.

AUTHORIZED REPRESENTATIVE

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