West Palm Beach Car accident attorney - Client’s Acknowledgement and Acceptance of Responsibility Form
The undersigned client hereby agrees to cooperate with the attorney in this case and acknowledges the following responsibilities:
1. I will assist my West Palm Beach Car accident attorney in obtaining medical bills which I recognize are the most important aspect of the value of my case.
2. I will return my West Palm Beach Car accident attorney’s telephone calls immediately after receipt of a message or as soon as possible.
3. I will provide my West Palm Beach Car accident attorney with any changes of address, telephone number, e-mail address, change of employment, or marital status.
4. I will keep my West Palm Beach Car accident attorney informed of all doctors, hospitals, therapists, counselors, and other facilities who provide treatment for the injuries which were received in the incident which is the subject of my claim.
5. I will answer any correspondence, e-mail, or direct inquiries made by my West Palm Beach Car accident attorney within one week of receipt of such inquiry, unless I am incapacitated or out of town.
6. I will return the phone calls or respond to any inquiries by a member of my West Palm Beach Car accident attorney’s staff.
7. I will treat my West Palm Beach Car accident attorney’s staff with respect and cooperation.
8. I will report any drastic change in my injury condition, such as the necessity to be admitted to a hospital or having a surgical procedure.
9. I will keep my West Palm Beach Car accident attorney informed regarding my loss of income which I recognize is the second most important value of my injury claim.
10. I will notify my West Palm Beach Car accident attorney with any change of address of an important witness which is known to me.
11. I will report any arrest for a felony or misdemeanor recognizing that such felony or misdemeanor charge may have an impact on my case.
12. I will be honest with my West Palm Beach Car accident attorney.
13. I recognize the responsibility to pay subrogation interests, unpaid medical bills, and other costs that may be associated with my case at the time of settlement.
14. I understand, acknowledge, and recognize that my failure to cooperate with my attorney could result in the following:
A. A settlement that is lower than its actual value.
B. The responsibility to pay medical bills that were not considered in the value of the settlement but could have been ascertained.
C. The necessity to pay a higher subrogation amount than necessary because of unknown medical bills.
D. A case which results in a lower verdict than its value or a defense verdict (zero) because of unknown information that could have been ascertained had there been assistance to the attorney.
E. My attorney’s request that my file be taken to another attorney or law firm because of my failure to cooperate.
I understand and agree to accept the terms of this acknowledgment and cooperation agreement.

Dated:_____________ Signed:______________________