INSTRUCTIONS
FOR
FLORIDA
FAMILY
LAW
RULES
OF
PROCEDURE
FORM
12.900(g)
AGREEMENT
LIMITING
REPRESENTATION
(06/25)
When
should
this
form
be
used?
This
form
should
be
used
as
a
“rider”
or
supplemental
agreement,
in
addition
to
an
Attorney-Client
fee
agreement,
between
the
attorney
and
client
when
the
attorney
is
making
a
limited
appearance
under
Rules
Regulating
The
Florida
Bar
4-1.2(c),
4-4.2(b),
and
4-4.3(b)
and
Florida
Family
Law
Rule
of
Procedure
12.040(e).
A
limited
appearance
means
the
attorney
is
not
handling
the
whole
case
for
the
client,
but
is
only
being
retained
to
do
a
specific
part
of
the
case.
This
form
is
not
to
be
filed
with
the
clerk
of
the
court.
Where
can
I
look
for
more
information?
See
Rules
Reg.
Fla.
Bar
4-1.2(c),
4-4.2(b),
and
4-4.3(b)
and
Florida
Family
Law
Rule
of
Procedure
12.040(e).
Instructions
for
Florida
Family
Law
Rules
of
Procedure
Form
12.900(g),
Agreement
Limiting
Representation
(06/25)
1
of
1
AGREEMENT
LIMITING
REPRESENTATION
(This
agreement
is
supplemental
to
the
Attorney-Client
fee
agreement
and
is
limited
to
addressing
the
consequences
of
Limited
Legal
Representation
by
an
attorney
in
Florida)
TO
THE
CLIENT:
THIS
IS
A
LEGALLY
BINDING
CONTRACT.
PLEASE
READ
IT
CAREFULLY
AND
MAKE
CERTAIN
THAT
YOU
UNDERSTAND
ALL
OF
THE
TERMS
AND
CONDITIONS.
YOU
MAY
TAKE
THIS
CONTRACT
HOME
WITH
YOU,
REVIEW
IT
WITH
ANOTHER
ATTORNEY
IF
YOU
WISH,
AND
ASK
ANY
QUESTIONS
YOU
MAY
HAVE
BEFORE
SIGNING.
EMPLOYMENT
OF
AN
ATTORNEY
FOR
LIMITED
REPRESENTATION
REQUIRES
THAT
THE
ATTORNEY
AND
CLIENT
CAREFULLY
AND
THOROUGHLY
REVIEW
THE
DUTIES
AND
RESPONSIBILITIES
EACH
WILL
ASSUME.
ANY
LIMITED
REPRESENTATION
AGREEMENT
SHOULD
DESCRIBE,
IN
DETAIL,
THE
ATTORNEY’S
DUTIES
IN
THE
CLIENT’S
INDIVIDUAL
CASE.
1.
SERVICES/LIMITED
SCOPE
OF
REPRESENTATION:
Client,
{name}
______________________,
employs
field1
Attorney,
{name}
_________________________________________________________
to
provide
field2
representation
only
in
the
limited
proceeding(s)
or
matter(s)
described
as
follows:
_________________________________________________________________________________
field3
_________________________________________________________________________________
_________________________________________________________________________________
2.
COMPLIANCE
WITH
CHAPTER
4
OF
THE
RULES
REGULATING
THE
FLORIDA
BAR:
Although
legal
assistance
is
limited,
an
attorney-client
relationship
exists,
and
the
client
is
entitled
to
the
standards
of
professional
responsibility
established
by
Chapter
4
of
the
Rules
Regulating
the
Florida
Bar,
including
confidentiality,
competence,
and
diligence.
3.
COMPLIANCE
WITH
FLORIDA
FAMILY
LAW
RULE
OF
PROCEDURE
12.040:
An
Attorney
hired
to
provide
limited
representation
in
court
must
comply
with
Florida
Family
Law
Rule
of
Procedure
12.040,
as
follows:
a.
The
attorney
will
file
with
the
court
a
Notice
of
Limited
Appearance,
Florida
Family
Law
Rules
of
Procedure
Form
12.900(b),
signed
by
the
client,
specifically
limiting
the
attorney's
appearance
to
the
particular
proceeding
or
matter
in
which
the
attorney
appears.
b.
If
the
attorney
seeks
to
withdraw
from
representation
before
the
conclusion
of
a
limited
appearance,
the
attorney
must:
(1)
File
a
motion
with
the
court
setting
forth
the
reasons
and
serve
that
motion
on
the
client
and
interested
persons,
and
(2)
Obtain
approval
of
the
court.
c.
At
the
conclusion
of
the
proceeding
or
matter,
the
attorney’s
role
terminates
without
the
necessity
of
leave
of
court,
on
the
attorney
filing
Termination
of
Limited
Appearance,
Florida
Family
Law
Rules
of
Procedure
Form
12.900(d).
The
notice
shall
include
the
names
and
last
known
addresses
of
the
person(s)
represented
by
the
withdrawing
attorney.
d.
THE
CLIENT
IS
ADVISED
THAT
ANY
OBJECTION
TO
THE
ATTORNEY’S
“TERMINATION
OF
LIMITED
APPEARANCE”
MUST
BE
MADE
IN
WRITING
BY
THE
CLIENT
BY
PROVIDING
THE
COURT,
THE
ATTORNEY,
AND
EACH
OTHER
INTERESTED
PERSON
(OR
THEIR
ATTORNEY)
A
COPY
AND
FILING
THE
ORIGINAL
WITH
THE
CLERK
OF
COURT
Florida
Family
Law
Rules
of
Procedure
Form
12.900(g),
Agreement
Limiting
Representation
(06/25)
1
of
2
e.
Representation
regarding
any
other
matter
or
proceeding
requires
a
separate
Notice
of
Limited
Appearance
and
must
comply
with
Florida
Family
Law
Rule
of
Procedure
12.040.
4.
ADDITIONAL
SERVICES/REPRESENTATION:
The
attorney
and
client
may
later
determine
that
the
attorney
should
provide
additional
limited
services
or
assume
full
representation.
The
attorney
may
decline
to
provide
additional
services.
a.
If
the
attorney
agrees
to
provide
additional
services,
those
additional
services
should
be
specifically
listed
in
an
amendment
to
this
agreement,
signed
and
dated
by
both
the
attorney
and
the
client.
b.
If
the
attorney
and
client
agree
that
the
attorney
shall
serve
as
the
client’s
attorney
of
record
on
all
matters
related
to
handling
the
client’s
case,
the
client
and
the
attorney
should
indicate
that
agreement
in
an
amendment
to
this
agreement,
signed
and
dated
by
both
the
attorney
and
the
client.
c.
In
either
case,
additional
compliance
with
the
notice
requirement
of
Rule
12.040
will
be
required
by
the
attorney.
d.
THE
ATTORNEY
AND
THE
CLIENT
SHOULD
NOT
RELY
ON
VERBAL
DISCUSSIONS
OR
VERBAL
AGREEMENTS
WHEN
CHANGING
THE
TERMS
OF
THE
ATTORNEY’S
RESPONSIBILITY
FOR
REPRESENTATION.
5.
ATTORNEYS’
FEES
AND
COURT
COSTS:
The
attorney
and
the
client
have
made
a
separate
agreement
in
writing
as
to
payment
of
attorneys’
fees
and
all
costs
associated
with
the
case
and
the
attorney’s
representation.
BY
SIGNING
THIS
AGREEMENT
YOU
ACKNOWLEDGE
THAT
YOU
HAVE
CAREFULLY
READ
AND
FULLY
UNDERSTAND
ALL
OF
THE
FOREGOING
TERMS,
AND
YOU
INTEND
TO
BE
LEGALLY
BOUND
BY
THEM.
field4
field5
Attorney
Client
Name:
Name:
field6
field7
Address:
Address:
City,
State,
Zip:
City,
State,
Zip:
Telephone
Number:
Telephone
Number:
E-mail
Address(es):
E-mail
Address(es):
Florida
Bar
Number:
Date:
Date:
I
HAVE
BEEN
PROVIDED
A
FULLY
EXECUTED
COPY
OF
THIS
AGREEMENT
LIMITING
REPRESENTATION.
_______________________________
Client
Florida
Family
Law
Rules
of
Procedure
Form
12.900(g),
Agreement
Limiting
Representation
(06/25)
2
of
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