20 10 NOTICE OF REPRESENTATION

JurisdictionArkansas
LibraryArkansas Form Book - Complete (2023 Ed.)

20-10 NOTICE OF REPRESENTATION

NOTICE OF REPRESENTATION

Name of [Client/Plaintiff/Claimant/Insured/Licensee]: [name]

Date of Birth: [birth date]

Social Security Number: [Social Security number]

I hereby give notice that I have retained the law firm of [law firm name] to represent me in regard to [my claims arising out of a motor vehicle accident of [date]] [my insurance claim] [the disciplinary actions taken against me by [board]] [my claims against [defendant] in regard to a transaction of [date]] [my...

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