Chapter 1 - APPENDIX TO CHAPTER 1: FORMS

• Jurisdiction: Colorado

Appendix to Chapter 1: Forms

Form 1-1: Disclosure Statement Regarding Contingency Fees (C.R.C.P. ch 23.3, Form 1).................................................................32

Form 1-2: Contingent Fee Agreement (C.R.C.P. ch 23.3, Form 2)........................35

Form 1-3: Final Disbursement Statement (C.R.C.P. ch 23.3, Form 2)...................38

Form 1-4: Fee Retainer Agreement—With Standard Terms of Engagement ........................................................................................39

Form 1-5: New Client Questionnaire......................................................................46

Form 1-6: Authorization to Release Employment Records ....................................47

Form 1-7: Authorization for Release of Educational Records................................48

Form 1-8: Freedom of Information Act (FOIA) Request Letter.............................49

Form 1-9: Consent for Release of Social Security Records (SSA Form)........................................................................................50

Form 1-10: Request for Social Security Earnings Information (SSA Form)........................................................................................52

Form 1-11: Request for Copy of Tax Return (IRS Form 4506)...............................56

Form 1-12: Request for Transcript of Tax Return (IRS Form 4506-T)....................58

Form 1-13: Authorization for Release of Medical Records Under HIPAA..............60

Form 1-14: Request for and Authorization to Release Medical Records (VA Form 10-5345)............................................................................64

Form 1-15: Authorization for Release of Workers' Compensation Information .........................................................................................66

Form 1-16: Authorization for Release of Criminal or Arrest Records.....................69

Form 1-17: Authorization to Release Insurance Information...................................70

Form 1-18...