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SSDI RETAINER

LOUIS LAW GROUP

290 NW 165th Street, Suite M-500, Miami, FL 33169

Telephone: (954) 676-4179 | Facsimile: (833)274-8637│Email: [email protected]

SOCIAL SECURITY ATTORNEY FEE AGREEMENT

This is a Fee Agreement between (“Claimant”) and the Attorney whose signature appears below (“Attorney”). Claimant understands and agrees that Attorney will be appointed as the primary representative and at any time during the claims process, other Associate within the Attorney’s Law Firm may be appointed as co-representative. This fee agreement is for the sole purpose of pursuing a claim for Disability Insurance Benefits and/or Supplemental Security Income, together with any auxiliary benefits, under the Social Security Act. The scope of this Fee Agreement is limited to representing Claimant in administrative proceedings before the Social Security Administration, up to and including the Appeals Council. This fee agreement does not apply to appeals to Federal Court. Any appeal to Federal Court by Attorney will require a separate contract.

LEGAL FEES:

Claimant and Attorney agree that if SSA favorably decides the claim(s), Claimant will pay Attorney a fee, equal to the lesser of the amount specified under 42 U.S.C.A § 406(a)(2)(A), currently $7,200.00, or twenty five percent (25%) of past-due benefits to claimant and claimant’s family resulting from the claim(s). However, the maximum fee specified in the above paragraph applies only if a favorable decision is obtained at the administrative level up to, and including, the hearing before an Administrative Law Judge following the date of this fee agreement. If subsequent appeals are necessary, and a favorable decision is then obtained, Attorney may request SSA to approve a fee in the amount of twenty five percent (25%) of past-due benefits, with no specific dollar maximum. In that case, the fee petition process would be used to obtain approval of the fee from SSA.

COSTS AND EXPENSES:

Claimant agrees to pay any out-of-pocket expenses from third parties incurred by Attorney while acting on Claimant’s behalf regardless of whether Claimant is awarded benefits by SSA. Examples of such expenses include, but are not limited to, copying charges by third parties, fees from doctors for medical records or opinions, and shipping costs.

NO FEE IF NO RECOVERY:

Claimant and Attorney understand that if Claimant does not receive a fully or partially favorable decision from SSA, Claimant will not owe Attorney any fee. Furthermore, if SSA favorably decides the claim(s), and if there are no past due benefits, this Fee Agreement will not apply. In such an event, or if SSA does not approve this fee agreement, Attorney will submit a Fee Petition for approval of a reasonable fee by SSA, in accordance with the applicable regulations.

FEE APPROVAL AND OBJECTIONS:

Claimant understands that SSA must approve any fee charged by Attorney for services provided in proceedings before the SSA in connection with the claim(s) for benefits, and Claimant has a right under 42 U.S.C. § 406(a)(3) to object to the fees. Claimant also understands and agrees that SSA will withhold the attorney fees from the payment of past due benefits, and SSA will pay such fees directly to attorney.

ELECTRONIC COMMUNICATIONS AND TEXT MESSAGING OPT-IN:

By signing this Agreement, Claimant consents to receive electronic communications, including text messages, from Attorney. These communications may include updates about the status of the claim, appointment reminders, marketing and promotional messages or other relevant information. Claimant understands that standard text messaging rates may apply, and that Claimant may withdraw consent at any time by notifying Attorney in writing. Ref#:SSA202382

Pierre A. Louis, Esq.

Attorney Representative

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August 21, 2023 4:16 pm EDT

SSDI RETAINER Uploaded by Pierre Louis - [email protected] IP 2601:58b:1600:320e:e1bc:d2c7:ddab:73ba

August 26, 2023 7:49 am EDT

Jean Delva - [email protected] added by Pierre Louis - [email protected] as a CC'd Recipient Ip: 73.139.91.156

August 26, 2023 7:53 am EDT

SSDI Intake - [email protected] added by Pierre Louis - [email protected] as a CC'd Recipient Ip: 73.139.91.156

November 9, 2023 2:06 pm EDT

SSDI Intake - [email protected] added by Pierre Louis - [email protected] as a CC'd Recipient Ip: 173.162.69.149

January 17, 2024 11:37 am EDT

SSDI Intake - [email protected] added by Pierre Louis - [email protected] as a CC'd Recipient Ip: 2601:586:4c80:9b60:44e7:ccab:84a:4aec

May 14, 2024 9:06 am EDT