AGREEMENT FOR LEGAL SERVICES “CONTINGENT FEE” (No Recovery = No Fee) I, the undersigned (client) hereby retain Peterson Law Offices, P.C., to represent and handle: MOTOR VEHICLE ACCIDENT / BODILY INJURY CASE ONLY The parties agree: (1) The fee for legal services is contingent and based upon the amount recovered. If there is no recovery, there is no fee and the client owes nothing. The attorney fee is 1/3 of any amount received if the case settles except as provided in (A) below. There is no fee on medical bills paid by your auto insurance. (A) If the case is tried in court or arbitrated, the fee is 40% (this applies only if the case is filed in court). Court costs and expenses, if applicable, are to be paid in advance by the client and will be discussed with the client before any suit is filed. The case will not be filed in court unless the client authorizes Peterson Law Offices to pursue the case in this manner. (2) A one-time charge of $125.00 for telephone, postage, fax and office expense will be deducted from the monies received, if any, at the end of each case. The attorney will be reimbursed for any costs paid such as copying fees of clients’ medical records which medical providers charge. (3) Client is entitled to rescind this agreement within 24 hours after signing by giving written notice to the attorney. (4) Client understands that he/she has read the explanation of the contingent fee agreement as approved by the state bar (attached).Signed atCity CityState StateDate MM slash DD slash YYYY BY:Client Signature*Client SignaturePrint Name Print NameAddress (Street) Address (Street)PhoneHome Phone or Cell Phone NumberCity, State, and Zip Code City, State, and Zip CodeWork Phone NumberWork Phone NumberPeterson Law Offices, P.C. Signature Peterson Law Offices, P.C. SignatureEmail Address Email Address Δ You must complete the form on the next page too, in order for Peterson Law Offices to legally represent you.