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Attorney Fee Response Form - New Jersey
| Attorney Fee Response Form Form. This is a New Jersey form and can be used in Attorney Ethics Statewide . |
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FOR OFFICE USE ONLY DOCKET NUMBER ATTORNEY FEE RESPONSE FORM DATE DOCKETED FILING FEE PAID YES NO DATE RESPONSE RECEIVED A NON-REFUNDABLE FILING FEE CHECK IN THE AMOUNT OF $50 MUST BE INCLUDED PAYABLE TO "DISCIPLINARY OVERSIGHT COMMITTEE." Please type or clearly print all information. ATTORNEY'S NAME: CLIENT'S NAME: 1. What was the total amount of the lawyer's bill? Total Legal Fee $ ________________________ + Total Costs and Disbursements $_______________ = Total Bill $___________________________ Amount previously paid to you on the client's behalf: $ ______________________________ (attach proof of payment) 2. (a) Type of case ___________________________________________________________________________________________ (b) Date representation commenced: _________________________________________ (c) Date services completed or representation terminated: ________________________ Yes No 3. Was there a written fee agreement or fee letter sent to the client explaining how much would be charged? (a) If yes, attach a copy. Yes No (b) If no, had you or the law firm regularly represented the client before? (c) If no, what arrangement for legal fees was agreed upon, and when? ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ (d) Was this a contingency case? Yes No 4. (a) Briefly, what was the fee arrangement? ______________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ (b) What was the initial fee quoted to the client? $__________________________ (c) What was the final bill? $___________________________________________ 5. If the final bill [4(c)] is different than the initial fee quoted [3(b)], state the reason, the date the client was advised of the change, attach copies of any retainer or agreement authorizing such change and any documents advising the client of the change. _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ OAE-2 (1/06) American LegalNet, Inc. www.FormsWorkflow.com ATTORNEY FEE RESPONSE FORM Page 2 6. Was an itemized bill or bills submitted to the client? Yes No 7. If client made payments on bill, attach itemized list showing date received and amounts. 8. Did you maintain time records in this case? Yes No (If yes, attach copies) 9. Have you brought a lawsuit for your fees? Yes No (If yes, attach a copy of the complaint) (a) If yes, state the date of service of process on client: ______________________________________ (b) Did you give pre-action notice to client under R. 1:20A-6? (If yes, attach a copy) Yes Date:_____________________ No 10. State your response to the client's answer to question "I" of the Attorney Fee Arbitration Request Form which explains why the client disagrees with your bill: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 11. Do you assert that another attorney or law firm may be liable for or entitled to any part of the fee? If so, state the correct names below and serve them in accordance with R. 1:20A-3(b). Yes No Name: ___________________________________________________________________________________________________ Firm: ___________________________________________________________________________________________________ Mailing Address: ___________________________________________________________________________________________ _________________________________________________________Telephone: (______)______________________________ CERTIFICATION OF SERVICE I hereby certify that all of the foregoing statements made by me are true, that all documents attached are true, and that I have, contemporaneously with filing this form with the secretary of the district fee arbitration committee, mailed a copy by certified mail postage prepaid to the client. I am aware that if this statement is willfully false I am subject to punishment. Date:__________________________ Signed: ____________________________________________ ____________________________________________ (Please Print Name Below Signature) PLEASE NOTIFY DISTRICT SECRETARY OF DISABILITY ACCOMMODATION NEEDS. OAE-2 (1/06) American LegalNet, Inc. www.FormsWorkflow.com
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