Agreement Limiting Representation

Introduction

This agreement is supplemental to the Attorney-Client fee agreement and is limited to addressing the consequences of limited legal representation by an attorney in Florida.

To the client: This is a legally binding contract. Please read it carefully and make certain that you understand all of the terms and conditions. You may take this contract home with you, review it with another attorney if you wish, and ask any questions you may have before signing.

Employment of an attorney for limited representation requires that the attorney and client carefully and thoroughly review the duties and responsibilities each will assume.

Services / Limited Scope of Representation

Complete the limited representation details below.

Client *

Attorney *

To provide *

Representation only in the limited proceedings or matters described as follows *

Additional description line 1

Additional description line 2

Additional description line 3

Agreement Terms

Compliance with Chapter 4 of the Rules Regulating the Florida Bar: Although legal assistance is limited, an attorney-client relationship exists, and the client is entitled to the standards of professional responsibility established by Chapter 4 of the Rules Regulating the Florida Bar, including confidentiality, competence, and diligence.

Compliance with Florida Family Law Rule of Procedure 12.040: An attorney hired to provide limited representation in court must comply with Florida Family Law Rule of Procedure 12.040, including notice of limited appearance, withdrawal requirements, and termination procedures.

Additional Services/Representation: The attorney and client may later determine that the attorney should provide additional limited services or assume full representation. Any such change should be specifically listed in an amendment signed and dated by both parties.

Attorneys’ Fees and Court Costs: The attorney and the client have made a separate agreement in writing as to payment of attorneys’ fees and all costs associated with the case and the attorney’s representation.

By continuing, you acknowledge that you have carefully read and fully understand the foregoing terms, and you intend to be legally bound by them.

Attorney and Client Information

Attorney

Name *

Address *

City, State, Zip *

Telephone Number *

E-mail Address(es) *

Florida Bar Number *

Client

Name *

Address *

City, State, Zip *

Telephone Number *

E-mail Address(es) *

Signatures and Dates

Enter the signature names and dates below. By submitting, the parties acknowledge this agreement and that the client has been provided a fully executed copy.

Attorney Signature

Attorney Signature Name *

Date *

Client Signature

Client Signature Name *

Date *

Executed Copy Acknowledgment

Client Acknowledgment Signature Name *

I have been provided a fully executed copy of this Agreement Limiting Representation.