ContractAttorney Fee Agreement • January 28th, 2014
Contract Type FiledJanuary 28th, 20141234567891011121314 BEFORE THE WORKERS' COMPENSATION BOARD FOR THE STATE OF OREGONHEARINGS DIVISIONIn the matter of the ) Claim Number Compensation of ) Employer ) Date of Injury , ) Carrier Claimant. )ATTORNEY FEE AGREEMENT The claimant does hereby agree with J. R. Perkins, III, that he is hereby retained to act as attorney of record for the claimant herein, that in the event the claimant is awarded any further compensation including penalties, or gains some substantial benefit including payment of medical expenses, receipt of vocational rehabilitation benefits, but not necessarily limited thereto, by reason of presentation of this case, whether or not a hearing is held in the above- entitled claim, the attorney fees are to be paid in accordance with the schedules adopted by the Workers' Compensation Board. It is agreed that in the event no additional award or benefit is procured for the claimant, there will be no fee due or owing to said attorney. It is further agreed that the atto