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WC Retainer - PB

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, prosecuting and litigating 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 gross proceeds from the 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 acknowledges that the aforesaid fees will be divided between The Friedman Law Firm and Balin Law with Balin Law receiving 1/3 of the legal fees as that firm assumes joint responsibility for the representation and agrees to be available for consultation with the client. In addition to the above legal fee, the Client shall be responsible for costs expended in investigating, preparing, processing and litigating the Claim. These costs will be paid by the Client in addition to and after the legal fees are paid. These costs may include travel (at the IRS business mileage rate) and parking fees if the Firm is required to attend any hearing, court proceeding, or meeting out of the office.

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

The Client acknowledges that the Firm is entitled to be compensated for the value of services rendered and to reimbursement of any expenses advanced. Therefore, the Firm shall have a charging lien for attorney fees and expenses upon the proceeds of any recovery from any settlement, judgment, verdict or other award obtained on the Client’s behalf. Client acknowledges that the Firm has made no guarantees in the representation of the Client for this matter and that Client has been informed and provided the opportunity to review this Agreement and the Firm’s lien with independent counsel.

It is mutually agreed that if nothing is recovered on said Claim, the Firm shall receive no compensation and shall not seek reimbursement for any costs expended.


__________________________________________ Balin Law (7372 Lakeshore Blvd., Mentor, OH 44060)

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Signed by Kristin Cool
Signed On: February 7, 2018

The Friedman Law Firm
Signature Certificate
Document name: WC Retainer - PB
Unique Document ID: 510c99d10435c97e88d266bc0de0d6d029d30be9
Timestamp Audit
December 1, 2017 4:08 pm ESTWC Retainer - PB Uploaded by Kristin Cool - IP