DISCLOSURE AND CONSENT
1. __[Name of firm]__ was retained on __[date]__, by __[name
of client]__ to __[describe services to be performed]__.
2. The representation is under the terms of __[a written/an
oral]__ agreement that provides, among other things, that the fee
for the services will be __[state amount or describe basis on
which fee will be computed]__. __[A copy of the agreement is
attached.]__
3. __[Name of firm]__ desires to associate __[name of
associate firm]__ to __[describe duties, e.g., conduct the
trial]__.
4. __[Name of firm]__ will pay __[name of associate firm]__
__[state amount or describe method of computing amount, e.g., 10
percent of net recovery]__ for the services of the associate
firm.
5. The payment will be at the expense of __[name of firm]__,
and the association will not be the cause for any increase in
fees.
Date: _ _ _ _ _ _ __[Typed name of firm]__
___[Signature of attorney]___
__[Typed name]__
Attorney for _ _ _ _ _ _
Date: _ _ _ _ _ _ __[Typed name of associate firm]__
___[Signature of attorney]___
__[Typed name]__
Attorney for _ _ _ _ _ _ _ _
I understand that __[name of associate firm]__ is being
associated with my case and that __[name of firm]__ will pay
__[name of associate firm]__ __[state amount or describe method
of computing amount, e.g., 10 percent of net recovery]__. I
consent to the association and fee splitting.
Date: _ _ _ _ _ _ ___[Signature of client]__
__[Typed name]__
Return to Table of Contents for
Legal Forms : Set Two