Contingent Fee Agreement With Sliding Scale

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Appendix I
Contingent Fee Agreement with Sliding Scale
Date:________________
Client name
Address
Re: Representation Agreement
Dear __________,
This letter sets forth the terms of our agreement to represent you in your claim for injuries
you sustained in __________ [describe incident, including location] on _________ [date of
incident].
1.
You have retained us, and we will represent you in this case and perform all
necessary legal services up to and including a trial and any post-judgment motions in the trial
court. We will charge you a contingent fee for representing you. In accordance with subsection
(b) of Connecticut General Statutes Section 52-251c, our contingent fee shall be based upon the
gross amount of damages awarded and received by you, or the gross amount of the settlement,
computed as follows:
33 1/3 percent of the first $300,000;
25 percent of the next $300,000;
20 percent of the next $300,000;
15 percent of the next $300,000; and
10 percent of all amounts over $1,200,000.
We will charge you this contingent fee if the case is settled, before or after filing suit, or if it goes
to trial and judgment. Since our fee will be based upon the size of any recovery on your behalf,
we will receive no fee for our services if we are unsuccessful in effecting any recovery.
2. In addition, we will advance (without interest) all costs and expenses of the case
including but not limited to filing fees, marshal's fees, expert witness fees, deposition costs for
court reporters and videographers, costs for medical reports, investigator's fees, charges for
photographs, diagrams, charts and
other visual aids, fees payable to public agencies, photocopying, mileage and long distance
telephone. At time of settlement or judgment, we shall be
reimbursed those expenses in addition to our fee as set forth above. If there are any unpaid liens
against your case such as Medicare, ERISA self-insured, Medicaid or workers’ compensation
liens, they will be paid out of your share of the settlement proceeds. We will also pay any health
care providers who have treated you under agreements that they will be paid out of the proceeds
of your case (under “letters of protection”). The net recovery will then be paid to you.
3.
Under this Agreement we are not obligated to take or defend an appeal on your
behalf.
If, following a full trial, an appeal to a higher court is necessary, we will discuss further
fee arrangements with you at that time. An appeal is a rare event in these cases and is a

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