The following information is voluntarily disclosed and supplements the required FEE DISCLOSURE STATEMENT (DWC 3):
Your attorney will be requesting a fee of 15% of benefits awarded, except as noted in the paragraph below. These benefits include temporary disability, if obtained through the attorney’s efforts, permanent disability, and future medical treatment, if there is a settlement of that issue. If necessary, your attorney may ask for an order withholding 15% of temporary or permanent disability in order to ensure payment for legal services.
A separate attorneys’ fee of up to 33% of the benefits awarded will be requested on penalty issues. These penalties may arise from discrimination under Labor Code §132, serious and willful cases, or unreasonable refusal or delay of workers’ compensation benefits.
Your attorney may withdraw from representing you by mailing written notice to you at the last address you have provided to your attorney. If your attorney has filed an Application for Adjudication of Claim on your behalf with the Workers’ Compensation Appeals Board, your attorney must also obtain permission from the Board before withdrawing.
If your attorney withdraws from representing you, or if you withdraw from representation, you will still be responsible for the fee amount found by a workers’ compensation judge to be the fair value of any work the attorney did in your case. However, such a fee may only be collected out of benefits actually awarded to you.
Unless you and your attorney have entered into a separate written fee agreement for representation in other matters, your attorney will only represent you regarding the workers’ compensation benefits for those work injuries that you have specifically disclosed to your attorney. Your attorney will not represent you in any other matters, including workers’ compensation benefits for injuries that you have failed to disclose to your attorney, actions against your employer for serious and willful misconduct, and/or Labor Code §132a (nondiscrimination policy) violations, or any third party lawsuits, labor law matters, or disability, health insurance, retirement, unemployment, or other benefits. If you wish to pursue any of these other matters, it will be your sole responsibility to either make arrangements with your attorney to represent you by way of a separate written retainer or agreement or to make sure they are handled in a timely fashion. Many of these matters have a one-year statute of limitations.
Paperless Law Office: Your case file will be in electronic format and available to you in electronic format as pdf files. You will generally receive documents from this office electronically.