Model Forms 2011.docx - nycourts-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name, address, and telephone number in the designated fields. Ensure all information is accurate for effective communication.
3. Next, provide the client's details including their name, address, and office telephone number. If known, include their email address as well.
4. Indicate the court and county where you filed a lawsuit on behalf of your client. Fill in the dates when you first agreed to handle the case and when you last performed services.
5. In the section provided, briefly describe the legal matter involved and attach any relevant documents such as retainer agreements or letters of engagement.
6. List each payment made by your client along with the date, amount, and purpose. Use additional sheets if necessary for clarity.
7. Specify how much of your fee is in dispute and attach a copy of your bill if available.
8. Indicate whether you have previously agreed to arbitrate this fee dispute by checking 'Yes' or 'No'.
9. Provide a brief explanation of why you believe you are entitled to the disputed amount. Use extra sheets if needed.
10. Finally, indicate your preference for mediation regarding this fee dispute before signing and dating the form at the bottom.

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