ATTORNEY FEE AGREEMENT AND AUTHORIZATION
(PREMISES LIABILITY)

ATTORNEY FEE AGREEMENT AND AUTHORIZATON (MOTOR VEHICLE ACCIDENT)

Your E-mail Address:

DATE:

NAMES AND ADDRESSES OF CLIENTS:

Name: 
 Address: 

       
Name: 
 Address: 

authorize(s) the law firm of WINER MEHEULA & DEVENS LLP and to do whatever they deem necessary or desirable, including, but not limited to, accepting and negotiating settlement drafts, in order to represent me (us) in all claims for compensation and reimbursement for injuries, damages, death and medical expenses resulting from the accident which occurred on or about

Date of Accident
  
Place of Accident
 at 

The above attorneys agree to do their best to obtain the most compensation reasonably possible.

The above attorneys will not charge the named client(s) for legal services unless or until they obtain payment of an award or settlement or until they obtain an offer of settlement which has been relayed to and accepted by the client(s). The attorneys' fee for legal services will be reasonable and in accordance with the appendix below:

FEE SCHEDULE

For all premises liability cases ........................................... 40% + state excise tax + costs

All costs incurred by the attorneys for investigation, police reports, computer research, photographs, records, sheriffs' fees, messenger fees, arbitration costs, court costs, hospital records, physicians reports/consultations, medical research consultant fees and ordinary and expert witness fees will be reimbursed by the client(s) at the conclusion of the case.

The attorneys may charge reasonable additional compensation if they try the case more than once, if the compensation for all work done on the case including the contingency fee for any outstanding offers of settlement.

If the injured party is a minor, the client(s) state(s)
that he/she is the 
 of 
.
 
(Relationship)
  
(Minor)

The client(s) state(s) that no other attorney has been retained to represent the client(s) in this case.

All named clients acknowledge receipt of a copy of this authorization.

           Client's Full Name:   
       Client's Full Name:   

Comments:

You may when done, or if you want to start over.