Attorney Engagement Termination Form
Formally notify and document the termination of your attorney-client engagement.
Client Full Name
*
First Name
Last Name
Client Email Address
*
example@example.com
Client Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Attorney/Legal Firm Name
*
Attorney/Legal Firm Email Address
example@example.com
Case/Matter Name or Reference Number
*
Reason for Termination
*
Please Select
Case resolved
Dissatisfaction with services
Conflict of interest
Change of representation
Cost/fee concerns
Other (please specify)
Please provide additional details about the reason for termination (if applicable)
Effective Date of Termination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please indicate how you would like your case files/records to be handled
*
Transfer to another attorney
Return to client
Retain in attorney's records
Other (please specify)
Are there any outstanding fees or balances?
*
Yes
No
Please provide any additional comments or instructions regarding the termination of engagement
By signing below, I acknowledge that I am formally terminating the attorney-client engagement as indicated above and understand the implications of this action.
*
Submit Termination
Submit Termination
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