Client Service Agreement
Client Service Agreement
Our client service agreement outlines our services to you, as well as our associated contingency fee we work on. This is only on the retroactive portion of your claim – on a move forward basis, any credits and deductions are 100% yours to claim. Generally, eligibility is granted for up to 5 years at a time unless your doctor has certified differently. In some scenarios, you may be granted eligibility indefinitely.
Download Client Service Agreement
Scroll down to see where to sign.
Client Services Agreement
How do I complete this form?
To fill out our Client Services Agreement, on the first page, where highlighted please write your full legal name, and enter today’s date. On the 2nd page, please print your full name, and sign.
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