ATTORNEY FEE AGREEMENT (CONTINGENT FEE-SOCIAL SECURITY CASES)Attorney Fee Agreement • November 2nd, 2017
Contract Type FiledNovember 2nd, 2017I, , SSN # , herein retain the Law Offices of Harold W. Conick & Associates, Ltd., Attorneys at Law, to represent me in my claim for Social Security and/or Supplemental Security Income (SSI) disability benefits, on the following terms: