Model Forms 2011.docx - nycourts-2026

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 available, include their email address for further correspondence.
4. Indicate the court and county where the lawsuit was filed. 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 a retainer agreement that outlines your fee arrangement.
6. List each payment made by your client in the specified format. Include date, amount, and purpose of each payment for clarity.
7. State how much of your fee is in dispute and attach a copy of your bill if available.
8. Answer whether you have previously agreed to arbitrate this fee dispute and attach any relevant agreements.
9. Provide a brief explanation of why you believe you are entitled to the disputed amount. Use additional sheets if necessary.
10. Finally, indicate if you wish to resolve this dispute through mediation by selecting 'Yes' or 'No'.

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