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WC Retainer - RL

The undersigned client hereby retains and employs the THE FRIEDMAN LAW FIRM (“the firm”) and attorneys associated with the firm, to act on behalf of the client for purposes of investigating, preparing and prosecuting a claim with the Ohio Bureau of Workers’ Compensation and/or the Industrial Commission of Ohio arising out of the client’s work-related injuries sustained on or about the date indicated in the preceding Intake Form (“the claim”).

As compensation for the firm’s services, the client agrees to pay the firm thirty-three and one-third percent (33-1/3%) of the client’s recovery of permanent partial disability compensation or other disability compensation, with the exception of permanent and total disability compensation, which shall be paid in accordance with the Rules and Regulations of the Ohio Bureau of Workers’ Compensation and the Industrial Commission of Ohio.  In the event that the claim is contested, the client agrees to pay 33-1/3% of  the temporary total disability compensation payable to the client up to the date of the conclusion of the contest. The client shall be responsible for the out-of-pocket costs of investigation (including computer research costs) and preparation of the claim, and should it be necessary to file suit on the claim, the litigation costs. If the firm is required to attend any court hearing, proceeding, or meeting out of the office a travel expense may be included in these costs.

The client acknowledges that the aforesaid legal fees will be divided between The Friedman Law Firm and Robert Leiken as both assume joint responsibility for the representation of the client and agree to be available for consultation with the client.

No lump sum settlement of the claim shall be made without the consent of the client.

As security for the firm’s fees, the client hereby assigns to the firm the client’s interest in the claim to the extent of the firm’s fees.

It is mutually agreed that if nothing is recovered on said claim, the firm shall receive no compensation.


__________________________________________ – Robert Leiken

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Signed by Kristin Cool
Signed On: September 11, 2017

The Friedman Law Firm
Signature Certificate
Document name: WC Retainer - RL
Unique Document ID: 335f6d2b8f4ddf8d49bcc2b78b7d87aa4fe1eb04
Timestamp Audit
August 25, 2017 1:18 pm ESTWC Retainer - RL Uploaded by Kristin Cool Cool - IP