Last updated: 11/30/2016
Disclosure Statement
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Description
State of Idaho Industrial Commission Client's name printed or typed Attorney's name and address printed or typed DISCLOSURE STATEMENT 1. In workers' compensation matters, attorney's fees normally do not exceed twenty-five percent (25%) of the benefits your attorney obtains for you in a case in which no hearing on the merits has been completed. In a case in which a hearing on the merits has been completed, attorney's fees normally do not exceed thirty percent (30%) of the benefits your attorney obtains for you. Depending upon the circumstances of your case, you and your attorney may agree to a higher or lower percentage which would be subject to Commission approval. Further, if you and your attorney have a dispute regarding attorney fees, either of you may petition the Industrial Commission, PO Box 83720, Boise, ID 83720-0041, to resolve the dispute. 2. I certify that I have read and understand this disclosure statement. Client's Signature Attorney's Signature Date Date American LegalNet, Inc. www.FormsWorkFlow.com