What type of case is this? What type of case is this? Personal InjuryCriminalDivorceOther Enter a brief summary of the legal matter: Will the client pay a retainer? Will the client pay a retainer? YesNo Retainer Amount $ Is the retainer refundable? Is the retainer refundable? Yes, once the matter is settled or submitted to a jury or judgeNo, it's non-refundable Enter the contingency fees: _____% if the case is settled before a lawsuit is filed; _____% if the case is settled after a lawsuit is filed; _____% if the case is settled after the first (1st) trial date; and _____% if the case goes to trial and a judgment is administered. How will the client pay for out-of-pocket expenses? How will the client pay for out-of-pocket expenses? Ongoing monthly billingFrom the recovery amount once the matter is settled or tried Law Firm Name Law Firm's Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Attorney's Name Attorney's Phone Attorney's E-Mail Client's Name Client's Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Agreement Date Next Save Save and finish later