Ticket Client Information Sheet (Page 3 of 3) in pdf

Ticket Client Information Sheet Page 3

Social Security information will only be used in the event you hire the firm to

represent you in your legal matter, and then only when necessary in limited use

during the course of your case.

• Social Security numbers are collected by the law firm from the client and all

clients provide such information to the firm in writing.

• Social Security numbers are most often used to positively identify parties.

Some uses may include initial service, in court orders, in orders to withhold

wages for child support, in required reports filed with the State of Texas, or

to obtain retirement information used to divide retirement benefits. Most

courts require Social Security numbers of all parties.

• All information received from a client is confidential. Numbers are not

released from the firm unless authorized by the client or required in the

course of representation as previously stated herein.

• The employees of Bailey & Galyen have access to this personal information.

• Every step is taken to protect your privacy. This information is kept secure

within the offices of the firm in file folders and file drawers until such time

that the file information is retired and the file removed to storage in a locked,

off-site storage facility. Files will eventually be shredded after the time

designated by the State Bar requirement for maintaining the records has

expired. Social Security numbers are also kept in firm software programs

that are protected by password in our system which is further protected by

extensive firewalls.

I acknowledge that I have read the above privacy information provided by Bailey &

Galyen regarding use of my Social Security number.

______________________________________

__________________

Signature

Date

Ticket Client Information Sheet Page 3