Fee Splitting Disclosure and Consent (Association) Form

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SOME MAIN ROOMS

MISC BUSHWAH

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: XXX [Typed name of firm]
[Signature of attorney]
[Typed name]
Attorney for XXX

Date: XXX [Typed name of associate firm]
[Signature of attorney]
[Typed name]
Attorney for XXX

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]

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From the 'Lectric Law Library's Stacks Fee Splitting Disclosure and Consent (Association) Form

SOME MAIN ROOMS

MISC BUSHWAH

DISCLOSURE AND CONSENT

From the 'Lectric Law Library's Stacks
Fee Splitting Disclosure and Consent (Association) Form