Contact us now:

WC Retainer Agreement

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 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 costs of investigating, preparing, processing and litigating the claim. If the firm is required to attend any court hearing, proceeding, or meeting out of the office, travel (at the IRS business mileage rate) and parking will be added to the costs.

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.

Leave this empty:

Signed by Kristin Cool
Signed On: December 1, 2017

The Friedman Law Firm
Signature Certificate
Document name: WC Retainer Agreement
Unique Document ID: e22be1d4d9132048efe65a2872a23fa17efa5aaf
Timestamp Audit
August 25, 2017 1:27 pm ESTWC Retainer Agreement Uploaded by Kristin Cool - IP