EmailMe Form - Application for Special Counsel

Name of mutual client that you represent *

First Last

What type of matter do you represent them on? *

What date did our client retain you for your services? *

MM / DD / YYYY

How will you be compensated? (Contingency or Retainer) *

If contingency, what percentage will you be compensated?

How much has our client paid you to date? *

$ Dollars . Cents

Your Contact Information

Name *

First Last

Phone *

### - ### - ####

Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please upload a copy of your retainer agreement with our client. This MUST be submitted in order for the bankruptcy court to approve you as counsel. *

Please upload a copy of the Attorney Verification form.

You can obtain a copy of this form at this link:

https://saedibankruptcyatlanta.com/wp-content/uploads/2020/04/Attorney-Verification-APPLICATION-TO-EMPLOY.pdf *