Attorney Agreement for Injury Collection

I, _______________________, hereby authorize and instruct __________________________ to remit payment, from the proceeds of any recovery obtained in connection with the incident that occurred on _____________________ in which I sustained injuries, to _______________________ for legal services rendered or to be rendered, in an amount not to exceed $_____________.

NOTICE: I acknowledge and agree that _________________________ remains responsible for the legal fees owed to _______________________ even if no recovery is ultimately made.

It is understood and agreed that I shall retain all funds recovered in excess of the amount owed to ______________, which, as stated above, shall not exceed $ _____________.

Dated: _________________

_________________________ (Attorney)

_________________________ (Injured Party)

Witness:

Attorney Agreement for Injury Collection

How to Use This Sample Format

This section is intended to guide you in understanding and utilizing this sample agreement. Personal injury (“PI”) cases are often highly profitable for attorneys. This document is designed to provide an advantage to the injured party by capping the attorney’s fees at a predetermined amount. When selecting a personal injury attorney, it is advisable to first compare the terms of their representation. In other words, negotiate the most favorable terms (such as the lowest percentage of recovery or a fixed fee) before choosing an attorney, rather than selecting one upfront and accepting their standard agreement without review.

Let me know if you need this converted into a downloadable format (e.g., DOCX or PDF) or if you need it customized for a specific case or jurisdiction.