Attorney Lien Notice

Attorney Lien Notice

Before you use this: Send only if the current law governing this claim and fee agreement permits the identified lien, the necessary filing or notice steps have been taken, and the listed recipient is one to whom notice may be given. This letter does not create a lien by itself or require a payer to include the firm on a draft.

[LAW FIRM NAME AND ADDRESS]

[ATTORNEY NAME, BAR/JURISDICTION, CONTACT]

[__/__/____]

Delivery method required by controlling authority: [METHOD]

[RECIPIENT NAME AND ROLE]

[INSURER, PARTY, COUNSEL, COURT OR OTHER AUTHORIZED RECIPIENT]

[ADDRESS]

Re: Notice concerning [CLIENT NAME], [CASE/CLAIM NUMBER], [INCIDENT OR MATTER DATE]

Dear [NAME]:

[FIRM NAME] represents [CLIENT NAME] in [PRECISE MATTER OR CLAIM] under an engagement dated [__/__/____]. The representation covers [SCOPE]. This notice asserts only the lien identified below against the specified property or proceeds, subject to the governing law and any court order.

The amount currently asserted is $[AMOUNT] as of [__/__/____], calculated in the attached itemization. It includes only [FEE OR COST COMPONENTS AUTHORIZED BY THE IDENTIFIED AGREEMENT AND LAW]. The amount may change only according to the applicable agreement and law, with an updated accounting. The lien is limited to [IDENTIFIED PROPERTY OR PROCEEDS]; it does not purport to cover other insurance, benefits, settlements, or assets without separately identified authority.

Please acknowledge receipt of this notice at [CONTACT] and preserve the attached documents with your claim or case record. The action requested of you, if permitted by [PINPOINT CONTROLLING AUTHORITY], is [SPECIFIC PAYMENT, ESCROW, NOTICE, OR COURT-APPLICATION STEP]. If the claim or amount is disputed, please send the reason and supporting record to [CONTACT]. Any handling of disputed funds or client property will follow [IDENTIFIED RULE OR ORDER].

This notice does not direct you to disregard other valid claims, withhold payment without authority, or treat receipt as consent to a lien. Please confirm any settlement or disbursement instructions through [VERIFIED CHANNEL] before relying on them.

Sincerely,

Signature: ______________________________

[ATTORNEY NAME AND ROLE]

For [FIRM NAME]

Enclosures: [FEE ITEMIZATION, ENGAGEMENT EXCERPT, FILING OR SERVICE PROOF, ORDER, OR "NONE"]

Copies sent to: [CLIENT, COUNSEL, OR OTHER PERSON AS REQUIRED, WITH METHOD AND DATE]

Delivery record: Sent [__/__/____] by [METHOD] to [DESTINATION]; proof [TRACKING OR RECEIPT].