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2020 YLD Kick Off Mixer
2020 Installation Dinner
2019 Holiday Reception
St. Paddy’s Day Photos
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Lawyer Referral Application Form
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Lawyer Referral Application Form
Lawyer Referral Application Form
hcba
2020-04-21T12:48:37-04:00
Complete Your Application Below
Step
1
of
4
25%
Name:
*
Firm:
Address:
Phone Number:
*
Fax
Email
*
Year admitted to N.J. Bar:
Engaged in active practice since:
Other states where you are admitted
List Federal courts to which you are admitted:
My practice includes litigation:
What % of your practice is litigation?
Will you make house calls?
Is your office handicapped accessible?
Languages spoken by office staff?
Willing to do a phone consultation?
Willing to accept pro bono referrals?
Foreign languages spoken
Consent
I agree to maintain professional liability insurance in the minimum required amount of $100,000 per claim with $300,000 aggregate for all claims.
Name of malpractice carrier:
Limits carried:
Deductible
HCBA LRS - Practice Area Selection
PLEASE CHECK OFF THE BOX for each focus area of practice for which you wish to receive referrals. You may choose one or more focus areas of practice under each major area of practice. You are limited to (3) three major practice areas (shown in bold) for a fee of $250.00. You may add additional major practice areas for a fee of $35.00 for each additional major practice area. You may only choose a focus area of practice in which you have handled a minimum of seven (7) cases in the past three years or which comprises at least twenty-five percent (25%) of your practice.
Practice Area One
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
Practice Area Two
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
Practice Area Three
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
Practice Area Four
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
Practice Area Five
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
Practice Area Six
ADMINISTRATIVE LAW
ESTATE AND ELDER LAW
LABOR LAW
MUNICIPAL COURT
REAL PROPERTY LAW
CONSUMER LAW
FAMILY PRACTICE
TORTS
CRIMINAL LAW
DISCRIMINATION
INTELLECTUAL PROPERTY
ENTERTAINMENT / ARTS
BUSINESS LAW
ENVIRONMENTAL LAW
APPEALS
BANKRUPTCY
TAX LAW
ARBITRATION / MEDIATION
IMMIGRATION LAW
Other
ADMINISTRATIVE LAW
Select All
DMV
Military / Veteran Benefits
Professional Licensure
Social Security / Disability
Education
Unemployment Compensation
Workers Compensation
ESTATE & ELDER LAW
Select All
Asset Protection Planning
Estate Taxes
Guardianship – Adult
Guardianship – Juvenile
Inheritance
Litigation
Medicare / Medicaid
Nursing Home
Power of Attorney
Probate
Trust Estate Planning
Wills
LABOR LAW
Select All
Labor
Management
Pension / Retirement
Whistle Blower
MUNICIPAL COURT
Select All
Disorderly Person
Drug Possession
DUI
Traffic Violation
REAL PROPERTY LAW
Select All
Commercial Real Estate
Condominium
Eminent Domain / Condemn
Homeowners Association
Landlord
Litigation
Mortgage Foreclosure
Resident Real Estate Closing
Tenant
Zoning / Land Use
CONSUMER LAW
Select All
Collections – Creditor
Collections – Debtor
Consumer Contracts
Credit /Repossession/Garnishment
Identity Theft
Insurance
Lemon Law
Small Claims
Warranties
FAMILY PRACTICE LAW
Select All
Adoption
Annulment
Child Custody & Visitation
Child Support
Civil Unions/ Domestic Partnership
Divorce
Domestic Violence
Name Change
Paternity
TORTS
Select All
Libel /Defamation
Malpractice – Accounting
Malpractice – Legal
Malpractice – Medical Dental
Malpractice – Other Profession
Personal Injury – Defendant
Personal Injury – Plaintiff
Property Damage
Product Liability
CRIMINAL LAW
Select All
Criminal – Adult
Criminal – Juvenile
Expungements
Parole Violation
DISCRIMINATION
Select All
American Disability Act
Civil Rights
Employment
False Arrest /Police Brutality
Sexual Harassment
INTELLECTUAL PROPERTY
Select All
Copyright
Patent
Trademark
Digital Property Rights
ENTERTAINMENT / ARTS
Select All
Contract Review
Contract negotiation
Property Rights
Litigation
BUSINESS LAW
Select All
Business Formations: Corporations or LLC
Collections
Commercial Litigation
Contracts
Franchises
Non-Profit Organizations
ENVIRONMENTAL LAW
Select All
Litigation
Administrative
APPEALS
Select All
Civil
Criminal
BANKRUPTCY
Select All
Consumer
Corporate
TAX LAW
Select All
Income Tax
Property Tax
ARBITRATION / MEDIATION
Select All
Civil
Family
IMMIGRATION LAW
Select All
Litigation
Application Issues
OTHER
Other
PLEASE READ THE FOLLOWING PAGES FOR RULES AND REQUIREMENTS
I acknowledge that I am licensed to practice law in the State to of New Jersey and am willing to represent persons referred to me by the Hudson County Bar Association’s Lawyer Referral Service (HCBA-LRS) I certify that:
I have been admitted to practice law in the State of New Jersey for one year, and remain in good standing, and have chosen three areas of concentration.
I understand the HCBA has collected a fee of $35.00 for the first half-hour’s consultation on non-contingent matters to defer the administrative costs of operating the LRS. The charge is to cover the conference and advice only and does not include the preparation of letters or legal documents. On contingent matters, I agree to give the client referred by the LRS a half-hour initial consultation for no fee.
As a participation fee for the privilege to be listed on three panels, I agree to pay the HCBA $250.00 upon submission of this application. This fee is nonrefundable. I further agree to give the HCBA-LRS 15% of any fee collected in excess of $500.00 (exclusive of costs and disbursements) on non-contingent matters, and to give the HCBA-LRS 25% of any fee collected in excess of $500.00 (exclusive of costs and disbursements) on contingent matters. The payment of said fees is to defer the administrative costs and expenses of the LRS. All case referral fees shall be made to the HCBA at the time payment is accepted from the client. I further agree to keep the HCBA-LRS apprised of the status of the case and of any fees owing. Failure to keep the HCBA-LRS advised of the status of any matters referred by the HCBA-LRS will result in my name being removed from the HCBA-LRS list and may result in collection action for fees due to the HCBA. The client shall not be billed an additional amount to cover the referral fee and the combined fees and expenses billed to the client shall not exceed the total charges which would have been billed to the client if the HCBA-LRS had not been involved. The HCBA-LRS shall have access to my records of referral matters in the event of a dispute concerning the referral fee. I understand and agree that the HCBA will prepare a referral report bi-monthly showing all cases referred to me and/or my office. I agree to review and complete said report within 30 days of receipt of report and forward all referral fees due within 30 days. If this report and fees are not completed and returned within 30 days, the HCBA shall have the right to suspend any further referrals and to seek payment of amounts billed by any methods available under the law.
I agree to be responsible for entering into the attorney/client relationship and for accounting to the HCBA-LRS for all fees collected as a result of referrals referred through the HCBA-LRS. I acknowledge that the HCBA-LRS has no responsibility whatsoever for collection of fees from clients; nor does the HCBA-LRS warrant my competence with respect to any matters referred. I certify that I will not accept representation or continue representation in a matter for which I am not qualified or competent.
If I cease to be a member of the HCBA, the HCBA has the right to suspend future referrals. For listing on additional panels, the fee will be $35.00 per panel. In the event of a referral fee payable to the HCBA, any panel-listing fee paid by me shall be a credit toward the amount due the HCBA.
If I receive a referral that I am unable or unwilling to accept, I agree to tell the prospective client to call the HCBA-LRS for another attorney’s name. I will not refer a prospective client referred to me by the HCBA-LRS to another attorney.
I agree to advise the HCBA-LRS, in writing, if I desire to be removed from the LRS list of participating attorneys; am convicted of a crime; am disciplined by a District Ethics Committee; am no longer a member in good standing of the Bar of the State of New Jersey or of the HCBA; or am no longer covered by the malpractice insurance described on page 1 of this application.
I agree to indemnify and hold harmless the HCBA from any and all claims, demands, actions, liability or loss, including, but not limited to, costs of defense, including a reasonable attorney’s fee, which may arise from or be incurred as a result of any loss and all referrals of a client to me through the HCBA-LRS.
I agree to comply with the Rules and Procedures of the HCBA-LRS.
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PLEASE PRINT YOUR NAME:
Please check here to indicate you have sent the required fee
Please check here to indicate you have sent the required fee
($250.00/members of the HCBA. Make checks payable to HCBA).
Hcba Lawyer Referral Application Total
Price:
$0.00
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
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Expiration Date
Security Code
Cardholder Name
DO NOT FORGET TO INCLUDE A COPY OF YOUR CERTIFICATE OF INSURANCE NAMING THE HUDSON COUNTY BAR ASSOCIATION LAWYER REFERRAL SERVICE AS A CERTIFICATE HOLDER OR SIGNED COPY OF A LETTER SO ADVISING YOU CARRIER
Return your application form, your check (payable to the HCBA) and you insurance certificate to:
HCBA LAWYER REFERRAL SERVICE – 583 NEWARK, JERSEY CITY, NJ 07306
1) RULES AND PROCEDURES OF THE HUDSON COUNTY BAR ASSOCIATION LAWYER REFERRAL SERVICE
Requirements for Participating in the Lawyer Referral Service
All attorneys who are licensed to practice in New Jersey may qualify for participation in the LRS, provided they meet the following criteria:
The attorney is engaged in the active practice of law.
The attorney warrants that he/she is a member of the Bar in good standing, is qualified to practice, and executes a wavier of confidentially which authorizes the District Ethics Committee to release to the LRS information on file with the District Ethics Committee about any public or private discipline given to the attorney.
The attorney has a minimum of one year of legal practice experience.
If an attorney cannot meet the standards set forth in Paragraph 3 above, he/she will be given an opportunity to demonstrate to the LRS Committee of the Hudson County Bar Association alternative qualifications. Other such qualifications may include special law school, graduate or post graduate studies, teaching experience, continuing legal education, maintenance of a library or relevant source materials, past experience with a relevant government body, or preparation of a publication dealing with the subject area.
The attorney obtains and maintains legal malpractice insurance in the minimum of $100,000 per claim with a $300,000 aggregate for all claims.
The attorney pays LRS an annual registration fee of $250.00 which will be payable upon submission of the application, and an additional fee of $35.00 for each panel in excess of three panels.
The attorney will advise LRS in writing promptly in the event he/she desires to be removed from the LRS listing; is convicted of a crime; is disciplined by a District Ethics Committee; is no longer a member in good standing of the Bar of the State of New Jersey; or is no longer covered by the required malpractice insurance.
The attorney submits an application for panel membership which supplies the LRS with the above information as well as his/her agreement to abide by the purpose, policies, procedures, and requirements of the LRS as set forth herein or as adopted by the Trustees of the Bar Association or the LRS Committee.
2) Panels
Attorneys participating in the LRS will be assigned to panels in particular fields of law in the following manner:
LRS will use a system of affirmative designation where the attorney can choose to be listed on various panels, which have been established by combining related types of cases. The attorney’s choice should reflect the types of cases he/she presently is handling, in which he/she has experience, and for which he/she can represent a client competently as required by the Rules of Professional Conduct. By selecting a panel, the attorney warrants that he/she is competent to represent a client in that field of practice.
An attorney may select a panel, and receive referrals of the type of cases within the panel(s) when one of the following requirements is met: i. The attorney certifies that he/she has handled five cases of the type listed within the last five years; or ii. Twenty-five percent of his/her practice has been in each of those areas the attorney has indicated he/she is willing to handle.
If an attorney cannot meet the standards set forth in Paragraph 2 above, he/she will be given the opportunity to demonstrate to the LRS Committee alternative qualifications. Other such qualifications include special law school, graduate or post graduate studies, teaching experience, continuing legal educations, maintenance of a library of relevant source materials, past experience with a relevant source material, or preparation of publication dealing with the subject area. A panel member may be required to re-certify annually his/her compliance with the above standards.
An attorney who is denied a panel classification of his/her choice or removed or suspended from a panel will have available the procedure for reconsideration and appeal before the LRS Committee as set forth in Section II, 3.
3) Rendition of Services
The attorney agrees to give the person referred by the LRS a half-hour consultation for a maximum fee of $35 on non-contingent matters, which will cover a conference and advice, and not the preparation of any documents. The attorney shall remit this fee to the HCBA to defer the administrative costs of operating the LRS. On contingent matters, the attorney agrees to give the person referred by LRS a half-hour initial consultation for no fee.
If the attorney agrees to undertake the representation of the person referred by the LRS, he/she will be individually responsible for the matter and services rendered. The LRS and the Bar Association will have no responsibility for the attorney’s services.
The attorney will remit to the HCBA 15% of the excess of fees received over $500.00 (exclusive of costs and disbursements) as a result of any matter referred by the HCBA-LRS in non-contingent matters, and 25% of fees received over $500.00 (exclusive of costs and disbursements) on fees in contingent matters.
The LRS will make no representation to the public concerning the competence of the attorneys participating in the LRS. It will advise those members of the public who inquire that the attorneys have designated certain areas of the law in which they will accept referrals from the LRS.
The attorney agrees that if, after the initial consultation, he/she will not be able to deliver the necessary services, the case will be returned to LRS for referral. The attorney will not refer the case to another attorney.
III. LRS Review and Discipline
The LRS Committee will have the authority to examine a prospective panel member’s application to determine the attorney’s continuing eligibility and to adjust panel membership when necessary. The LRS Committee may deny panel membership or remove or suspend a panel member at any time for good cause, as determined by a majority of the committee, which includes, but is not limited to:
institution of criminal charges involving theft, embezzlement, or fraudulent appropriation of property;
violation of Rules of Professional Conduct;
suspension, disbarment, or resignation from the practice of law;
failure to obtain or maintain the required legal malpractice insurance;
falsification of data required by LRS;
failure to pay the annual registration fee or otherwise comply with the LRS Rules and Procedures;
Institution of Civil Action to recover fees due to the HCBA-LRS;
Failure to comply with the rules and procedures of the HCBA-LRS;
If the LRS Committee intends to examine a prospective panel member after consideration of his/her application and disciplinary record or moves to remove or suspend a panel member, the attorney concerned will be notified in writing of the intention and reasons therefore, and will be offered the opportunity to make a written response to the Committee or its designee.
An attorney may withdraw from a panel or the LRS at any time upon written notice to the LRS, but he/she shall not thereby be relieved of the duty to dispose of, in accordance with the Rules and Procedures, any pending cases or any obligation incurred during membership.
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