Thank you for trusting The Louis Law Firm with your case.

Our attorneys and staff are here to fight for

you every step of the way!

We want to assure you that you’ve come to the right place. Here at The Louis Law Firm, we're experts in personal
injury cases. We only focus on personal injury. We've been getting our clients great results and have recovered
billions of dollars for over ten years, so we have a lot of experience. We understand that this is a stressful time for
you, but we're committed to making sure this process is smooth.

The next steps are as follows:

1. Read and Sign the Documents:

• Carefully read all the provided documents.
• Sign in all the required signature fields. These documents are essential for your attorney and
case staff to start investigating your case immediately.

2. After Signing:
• Your attorney and case staff will process your field and begin the investigation process.

3. Communication:
• Expect a call from your case staff within 24 business hours.
• If you have not been contacted within 2 business days after you complete the documents,
please contact our client success team at 407-603-6044.

4. Collect Relevant Records:

• Gather any records related to your case, such as insurance information, medical records, or
any other pertinent documents. These will be important for the investigation and case
preparation.

Sincerely,
The Louis Law Firm, PLLC

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
FROM THE DESK OF:
Skinner Louis, Esq.
Phone: 407-603-6044
Fax: 407- 442-0547
Address: 5401 S. Kirkman Rd. Suite 310
Orlando, FL 32819
Email: presuit@louisfirm.com

Termination Letter

This letter is to inform you that I, Lechuga Edouardo , am terminating our legal
representation agreement effective immediately. This decision is final, and I request that you
cease all work on my behalf as of the date of this letter.

I ask that you forward ALL correspondence related to my claim including records, bills, liens,
etc. to the above office. Please do not contact me as my decision is final.

Thank you for your attention to this matter.

Client Name: Lechuga Edouardo

Client Signature:

Date: 07/09/2024

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
 AUTHORITY TO REPRESENT
I, the undersigned client, hereby retain The Louis Law Firm, PLLC (the “Firm”) as my attorneys to represent me in my
claim against any person or entity resulting from an incident or accident that occurred on or about 07/09/2024
.

I agree to pay to the Firm the following fee from the total gross recovery:

(a) 33 1/3% of any recovery up to $1 million prior to filing suit and after suit is filed but before
an answer is filed or demand for arbitration is made;
(b) 40% of any recovery up to $1 million after answer is filed or demand for arbitration is
made;
(c) Plus, in each of (a) and (b), 30% of any recovery between $1-2 million;
(d) Plus, in each of (a) and (b), 20% of any recovery in excess of $2 million;
(e) If all defendants admit liability at the time of filing their answers and request a trial only
on damages;
(i) 33 1/3% of any recovery up to $1 million; plus
(ii) 20% of any portion of the recovery between $1 million and $2 million; plus
(iii) 15% of any portion of the recovery exceeding $2 million.
(f) An additional 5% of the total gross recovery (i.e., including any and all damages and
attorneys’ fees recovered) received any time after the beginning of any appellate
proceeding, regardless of the result, duration, or legal work involved in the appellate
proceeding, or whatever is awarded by the Court, whatever is greater.
(g) In the event that my claim, or any portion thereof, is brought against a defendant or
defendants whose liability is governed pursuant to the Federal Tort Claims Act, 28
U.S.C.A. 1346, attorneys’ fees are limited to 25% of the total gross recovery as to those
defendants; and
(h) In the event that my claim, or any portion thereof, is brought against a defendant or
defendants whose liability is governed pursuant to Florida Statutes §768.28, attorneys’
fees are limited to 25% of the total gross recovery as to those defendants.
(i) I understand that when appropriate the Firm may petition the court for approval to
increase its fee to up to 40% of any recovery.

In the event attorneys' fees are recovered from any adverse party pursuant to any state or federal statute, the
attorneys’ fee shall be the greater of the negotiated or court-awarded fee or contingency fee stated above.
I understand that this is a contingent fee contract and, if no recovery is made, I will not be obligated to pay attorneys'
fees or costs incurred. I agree that upon written notice, the Firm may terminate its representation under the terms
of this agreement.

I also acknowledge that the Firm will deduct costs from my share of the recovery after the contingent fee has been
calculated. I understand and agree that I am only obligated to pay costs if there is a recovery in this claim. Said costs

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
shall include, but are not limited to, cash and non-cash expenditures for: investigator mileage to and from the initial
sign up meeting, court filing fees, medical records charges, experts, mediation fees, subpoenas and deposition costs,
witness fees, long distance telephone calls, facsimiles, photocopies, postage, in-house printing, travel, parking,
investigative services and all other costs necessary for proper performance of legal services, and that such costs shall
bear interest at the rate of 1.5% per month (or such lesser amount as may be the maximum amount permitted by
applicable law, rule or regulation). In the event that the Firm withdraws from the case or in the event that this
agreement is terminated, the Firm reserves the right to be reimbursed for said costs if a recovery is made by another
firm.

Pursuant to Florida Rule of Professional Conduct Rule 4-1.5, the Firm will advance the costs of my case on my behalf. I
will be responsible to reimburse the Firm for all reasonable costs spent in furtherance of my case in the event a
recovery is made.

The Firm has my authorization and consent to employ and retain any other lawyer(s) as co- counsel, if, in the Firm’s
discretion, it deems such appointment to be beneficial to the case. I agree that the co-counsel will also have the
right to represent me in the prosecution of my claims. However, the Firm will have responsibility for paying the co-
counsel out of the fees identified above. It is understood that I have no other obligation to pay the co-counsel, but
that any out-of- pocket expenses incurred by co-counsel shall be considered costs of litigation for which I am
responsible. It is understood that the co-counsel will be available to me for consultation in this matter should I so desire,
and co-counsel shall have the same legal responsibilities to me for the performance of legal services as the Firm.

This agreement does not obligate the Firm to file or prosecute an appeal from an adverse verdict, order or judgment
entered in favor of any defendants.

Either at the commencement or during the course of the Firm’s representation, the Firm may express opinions or
beliefs concerning the litigation or various courses of action and the results that might be anticipated. Any such
statement made by any attorneys of the Firm is intended to be an expression of opinion only, based on information
available to the Firm at the time, and should not be construed as a promise or guarantee.

To secure the payment of the Firm’s fees and costs incurred under the terms of this agreement, I hereby confer
and grant a charging lien on my claim and any recovery in this case, and a retaining lien on the funds, property, files
and records, as permitted by law, which will be deemed in force and perfected from the date of this agreement.
The undersigned client has, before signing this contract, received and read the statement of client’s rights and
understands each of the rights set forth therein. The undersigned client has signed the statement and received a
signed copy to refer to while being represented by the undersigned attorney(s).

I understand and agree that the Firm may contact me at any phone number (including mobile, cellular/wireless, or
similar devices) or email address I provide at any time, for any lawful purpose. I agree to keep the Firm informed of
any changes to my contact information. The ways in which the Firm may contact me include live operator, automatic
telephone dialing systems (auto-dialer), prerecorded message, text messaging systems or email. Phone numbers
and email addresses I provide include those I give to the Firm, those from which I contact the Firm or which the

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
Firm obtains through other means. I also understand and agree that the Firm may monitor/and or record any of my
phone conversations with the Firm’s representatives.

I provide my consent for the Firm and its attorneys to publish the results of my case including, without limitation,
trial verdicts, arbitration awards, settlement amounts (without disclosing the names of the parties where
confidential), and/or fee awards in advertisements and other media.

By executing this fee agreement I agree that, with one exception, any and all disputes between me and the Firm
arising out of this agreement, the Firm’s relationship with me or the Firm’s performance of any past, current or future
legal services, whether those services are subject of this particular agreement or otherwise, will be resolved through
a binding arbitration proceeding to be conducted under the auspices of the Commercial Arbitration Rules of the
American Arbitration Association in Orlando, Orange County, Florida. The disputes subject to binding arbitration
will include, without limitation, disputes regarding attorneys’ fees or costs, and those alleging negligence, malpractice,
breach of fiduciary duty, fraud or any claim based upon a statute. Both the agreement of the parties to arbitrate all
disputes and the results and awards rendered through the arbitration will be final and binding on me and the Firm and
may be specifically enforced by legal proceedings. Arbitration will be the sole means of resolving such disputes, and
both parties waive their rights to resolve disputes by court proceedings or any other means. The parties have agreed
that judgment may be entered on the award of any court of competent jurisdiction in the state of Florida and,
therefore, any award rendered shall be binding. The arbitrator may not consolidate more than one person’s claims
and may not otherwise preside over any form of a representative or class proceeding. The one exception to my
agreement to arbitrate concerns ethical grievances which I may have. Nothing in this agreement limits, in any way,
my right to pursue any ethical grievance against the Firm as permitted by applicable law.

I understand that by agreeing to arbitration as a mechanism to resolve all potential controversies, disputes, or
claims between us, I am waiving certain rights, including the right to bring an action in court, the right to a jury trial,
the right to broad discovery, and the right to an appeal. I understand that in the context of arbitration, a case is
decided by an arbitrator (one or more), not by a judge or a jury. I agree that, in the event of such controversy,
dispute, or claim between us, the prevailing party will be entitled to recover from the losing party all costs and
expenses he, she, or it incurs in bringing and prosecuting, or defending, the arbitration, including reasonable
attorneys’ fees and costs.

I have been advised to review this contract carefully to be certain that it accurately sets forth our agreement. In
the event that I do not understand anything in this agreement, I will let the Firm know so further written
explanations can be provided.

NOTICE FROM FIRM: This agreement contains provisions requiring arbitration of fee disputes. Before you sign this
agreement you should consider consulting with another lawyer about the advisability of making an agreement
with mandatory arbitration requirements. Arbitration proceedings are ways to resolve disputes without use of
the court system. By entering into agreements that require arbitration as the way to resolve fee disputes, you give
up (waive) your right to go to court to resolve those disputes by a judge or jury. These are important rights that
should not be given up without careful consideration.

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
I understand that this contract may be canceled by written notification to the attorney at any time within three (3)
business days of the date the contract is signed, as shown below, and if canceled, I shall not be obligated to pay any
fees to the attorneys for thework performed during that time. If the attorneys have advanced funds to others in their
representation of me, the attorneys are entitled to be reimbursed for such amounts as they have reasonably advanced
on behalf of the client. If I discharge my attorneys for any reason after the initial three (3) days, I agree that my
attorneys shall be entitled to a reasonable fee in accordance with applicable law.

If any term of this agreement is to any extent invalid, or incapable of being enforced, such term shall be excluded to
the extent of such invalidity or unenforceability; all other terms shall remain in full force and effect and, to the
extent permitted and possible, the invalid or unenforceable term shall be deemed replaced by a term that is valid
and enforceable and that comes closest to expressing the intention of such invalid or unenforceable term.

The above engagement is hereby accepted upon the terms and conditions stated herein.

Date: 07/09/2024

Lechuga Edouardo
Client Name The Louis Law Firm, PLLC

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
 ASSOCIATING ATTORNEY CLAUSE

I understand and consent that The Louis Law Firm, PLLC, is associated as counsel with
_________________________, and that the division of the applicable fees in this agreement shall
be made among these attorneys in proportion to the legal services to be performed and the
responsibility assumed by each. I understand that actual legal services shall be performed by
agreement of my attorneys, while responsibility shall be shared equally.

Dated at 07/09/2024
, Florida, this day of , 20

Lechuga Edouardo
The Louis Law Firm, PLLC CLIENT (Print Name)
5401 S. Kirkman Road, Ste 310
Orlando, FL 32819
Phone: (407) 603-6044 Signature

Lechuga Edouardo
CLIENT (Print Name)

Signature

P: 407-603-6044 | F: 407- 442-0547 | 5401 S. Kirkman Rd. Suite 310, Orlando FL. 32819| presuit@louisfirm.com
 STATEMENT OF CLIENT’S RIGHTS
FOR CONTINGENCY FEES
Before you, the prospective client, arrange a contingent fee agreement with a lawyer, you
should understand this statement of your rights as a client. This statement is not a part of the actual
contract between you and your lawyer, but, as a prospective client, you should be aware of these
rights:

1. There is no legal requirement that a lawyer charge a client a set fee or a percentage of
money recovered in a case. You, the client, have the right to talk with your lawyer about the
proposed fee and to bargain about the rate or percentage as in any other contract. If you do not
reach an agreement with 1 lawyer you may talk with other lawyers.

2. Any contingent fee contract must be in writing and you have 3 business days to
reconsider the contract. You may cancel the contract without any reason if you notify your lawyer
in writing within 3 business days of signing the contract. If you withdraw from the contract within
the first 3 business days, you do not owe the lawyer a fee although you may be responsible for the
lawyer’s actual costs during that time. If your lawyer begins to represent you, your lawyer may not
withdraw from the case without giving you notice, delivering necessary papers to you, and allowing
you time to employ another lawyer. Often, your lawyer must obtain court approval before
withdrawing from a case. If you discharge your lawyer without good cause after the 3-day period,
you may have to pay a fee for work the lawyer has done.

3. Before hiring a lawyer, you, the client, have the right to know about the lawyer’s
education, training, and experience. If you ask, the lawyer should tell you specifically about the
lawyer’s actual experience dealing with cases similar to yours. If you ask, the lawyer should provide
information about special training or knowledge and give you this information in writing if you
request it.

4. Before signing a contingent fee contract with you, a lawyer must advise you whether the
lawyer intends to handle your case alone or whether other lawyers will be helping with the case. If
your lawyer intends to refer the case to other lawyers, the lawyer should tell you what kind of fee
sharing arrangement will be made with the other lawyers. If lawyers from different law firms will
represent you, at least 1 lawyer from each law firm must sign the contingent fee contract.

5. If your lawyer intends to refer your case to another lawyer or counsel with other lawyers,
your lawyer should tell you about that at the beginning. If your lawyer takes the case and later
decides to refer it to another lawyer or to associate with other lawyers, you should sign a new
contract that includes the new lawyers. You, the client, also have the right to consult with each
lawyer working on your case and each lawyer is legally responsible to represent your interests and
is legally responsible for the acts of the other lawyers involved in the case.

6. You, the client, have the right to know in advance how you will need to pay the expenses
and the legal fees at the end of the case. If you pay a deposit in advance for costs, you may ask
reasonable questions about how the money will be or has been spent and how much of it
remains unspent. Your lawyer should give a reasonable estimate about future necessary costs. If
your lawyer agrees to lend or advance you money to prepare or research the case, you have the
right to know periodically how much money your lawyer has spent on your behalf. You also have
the right to decide, after consulting with your lawyer, how much money is to be spent to prepare a
case. If you pay the expenses, you have the right to decide how much to spend. Your lawyer should
also inform you whether the fee will be based on the gross amount recovered or on the amount
recovered minus the costs.

7. You, the client, have the right to be told by your lawyer about possible adverse
consequences if you lose the case. Those adverse consequences might include money that you
might have to pay to your lawyer for costs and liability you might have for attorney’s fees, costs,
and expenses to the other side.

8. You, the client, have the right to receive and approve a closing statement at the end of
the case before you pay any money. The statement must list all of the financial details of the entire
case, including the amount recovered, all expenses, and a precise statement of your lawyer’s fee.
Until you approve the closing statement your lawyer cannot pay any money to anyone, including
you, without an appropriate order of the court. You also have the right to have every lawyer or
law firm working on your case sign this closing statement.

9. You, the client, have the right to ask your lawyer at reasonable intervals how the case
is progressing and to have these questions answered to the best of your lawyer’s ability.

10. You, the client, have the right to make the final decision regarding settlement of a case.
Your lawyer must notify you of all offers of settlement before and after the trial. Offers during the
trial must be immediately communicated and you should consult with your lawyer regarding
whether to accept a settlement. However, you must make the final decision to accept or reject a
settlement.

11. If at any time you, the client, believe that your lawyer has charged an excessive or
illegal fee, you have the right to report the matter to The Florida Bar, the agency that oversees the
practice and behavior of all lawyers in Florida. For information on how to reach The Florida Bar,
call 850/561-5600, or contact the local bar association. Any disagreement between you and your
lawyer about a fee can be taken to court and you may wish to hire another lawyer to help you
resolve this disagreement. Usually fee disputes must be handled in a separate lawsuit, unless your
fee contract provides for arbitration. You can request, but may not require, that a provision for
arbitration (under Chapter 682, Florida Statutes, or under the fee arbitration rule of the Rules
Regulating The Florida Bar) be included in your fee contract.

07/09/2024 Lechuga Edouardo

DATE CLIENT

DATE The Louis Law Firm, PLLC

 Authorization for the Use and Disclosure of Protected Health
Information
Information Identifying the Individual Whose Records Are Being Requested

Name of Individual: SSN:

Disclosure of your Social Security Number is not mandatory. The Agency for Health Care Administration (AHCA or Agency) may request
your Social Security Number pursuant to Section 119.071, Florida Statutes. If provided, the Agency will use your information for purposes
of finding the requested information.

Individual’s Street Address:

City: State: Zip Code:
Medicaid ID or Gold Card Number:
Phone Number: Date of Birth:
Provide the specific dates of service included. From: To:
Purpose for this disclosure:
Date I wish this authorization to expire (expires in one year if no date is provided):
I direct AHCA to mail the requested hard copy records to the below person(s), group or entity: Documents

Requested: Paid Claims Records Denied Claims Records All Claims Records

Other:
Name:
Street Address:
City: State: Zip Code:
I authorize the below person(s), group or entity to verbally discuss specific topics with AHCA:
The specific topics to be discussed are:
Name:
I understand the following: I have the right to revoke this authorization at any time by writing to the Agency’s Privacy Officer or
completing the revocation section on the second page of this form and sending it to the address listed for the Agency’s Privacy Officer. I
understand that any information previously disclosed would not be subject to my revocation request. The information described above may
be re-disclosed by the person or group that I am giving the Agency permission to disclose to and therefore my information may no longer be
protected by Federal privacy regulations. I may inspect or request copies of any information disclosed by this authorization if the Agency
initiated this request for disclosure. I may refuse to sign this authorization and my refusal to sign will not affect my ability to obtain
treatment, payment for health care services or eligibility for benefits.
This form specifically includes authorization to provide documents related to sensitive health conditions including: drug, alcohol or
substance abuse, psychological or psychiatric treatment, sickle cell anemia, birth control or family planning, genetic diseases or tests,
tuberculosis, and HIV/AIDS or STDs. To restrict sensitive information, see Page 2.

I DECLARE UNDER PENALTY OF LAW THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT.

Signature: Date: 07/09/2024

Printed Name: Lechuga Edouardo
Legal Authority (If Other Than Individual):
If you are a legal representative of the person whose information you are requesting disclosure of, you must provide
documentation proving your legal authority to request this information (for example, power of attorney, guardianship papers,
health care surrogate form, Custody Order, Order Appointing Personal Representative, Letters of Administration).

AHCA Form 1000-3003, Revised (AUG 2018) Page 1 of 2

 AUTHORIZATION FOR THE RELEASE OF PROTECTED HEALTH INFORMATION
A

TO:

ADDRESS:

PATIENT INFORMATION:

Patient Name: Lechuga Edouardo

Date of Birth: SS#:

I authorize and direct you to release my entire medical and billing file, including but not limited to all medical
records, labs, billing ledger, physician orders, medications, etc… as specified below to:

RECIPIENT INFORMATION:

Name: THE LOUIS LAW FIRM, PLLC

Address: 5401 S. Kirkman Road, Suite 310, Orlando FL 32819
Phone: 407-603-6044 Fax: 407-442-0547 Email: presuit@louisfirm.com

SPECIFIC DOCUMENTS TO BE RELEASED:

( ) ALL Records ( ) Fact Sheet ( ) Discharge Summary

( ) History/Physical ( ) Operative Reports ( ) Consultation
( ) Labs ( ) Radiology Reports ( ) Progress Notes
( ) Physician Orders ( ) Cardiology Reports ( ) Nurses Notes
( ) Medications ( ) Itemized Bills

( ) OTHER:

I acknowledge and hereby consent to such, that the released information may contain alcohol, drug abuse,
psychiatric, HIV testing, HIV results or AIDS information. (initials)

This request is authorized to include any federal and/or state protection under Florida Statutes 394.459(9) Psychiatric
Information, 397.053/396.112 Drug and Alcohol Abuse Information 381,609 HIV and AIDS related conditions and/or
397.50(3) records of minor client.

PURPOSE FOR INFORMATION:

( ) Continued Medical Care ( ) Insurance ( ) Personal ( ) Current Litigation

I understand that I have the right to revoke this authorization at any time. I understand if I revoke this authorization I
must do so in writing and present my written revocation to the health information management department. I understand
the revocation will not apply to information that has already been released in response to this authorization. I understand
the revocation will not apply to my insurance company when the law provides my insurer with the right to contest a
claim under my policy. Unless otherwise revoked, this authorization will expire in SIX MONTHS from Date of
Signature.

I understand that authorizing the disclosure of this health information is voluntary. I can refuse to sign this authorization.
I need not sign this form in order to assure treatment. I understand I may inspect or copy the information to be used or
disclosed, as provided in CFR 164.524. I understand any disclosure of information carries with it the potential for an
unauthorized re-disclosure and the information may not be protected by federal confidentiality rules.

Signature>> Date>> 07/09/2024

Patient or Authorized Person ( ), Parent ( ) Legal Guardian ( ) Executor ( ) Power of Attorney ( )

 DISCLOSURE AND CONSENT

In the course of representation by The Louis Law Firm it may be necessary to retain service
providers to perform services that are necessary and/or beneficial to your case. These services
include, but are not limited to, investigation services to conduct independent investigations, medical
records retrieval, police report retrieval, accident report retrieval, communication services,
transcription services, optical character recognition (OCR) services, and trial support services. The
Louis Law Firm employs trained employees and investigators to perform the above services and to
conduct investigations when necessary, at the direction of The Louis Law Firm. You have the right to
direct your attorneys to retain an outside vendor or investigation service if you desire. Unless you
direct otherwise, in writing, your attorneys will utilize The Louis Law Firm investigators and
employees to perform such services and to conduct such investigations as your attorneys may
deem necessary.

The shareholders of The Louis Law Firm have established a cost schedule (available to you
upon request) which is competitive with the charges of outside vendors in the market of the services
listed above. The Louis Law Firm believes that it will be in your best interest to utilize in-house staff
and investigators for certain services determined by your attorneys. The benefits of doing so include
quality of service, control of the service, timeliness of provision of such services, and cost
containment. In order to utilize its in-house services in your representation, The Louis Law Firm makes
this disclosure that you will be charged for investigative services as a cost item and that the amount
charged may exceed The Louis Law Firm’s actual cost of providing the service.

The undersigned client(s) have read the above disclosure, have been given the opportunity
to ask questions and to consult with independent counsel regarding the use of The Louis Law Firm staff
or third-party vendors as well as to provide investigative and other services in your case, and hereby
consents to utilization of in- house staff and investigators from The Louis Law Firm for such services as
the attorneys may direct.

07/09/2024 Lechuga Edouardo

DATE CLIENT

07/09/2024
DATE CLIENT
 AFFIDAVIT OF LEGITIMATE CLAIM

BEFORE ME, the undersigned personally appeared _____________________

Lechuga Edouardo
and being first duly sworn, deposes and says the following based on their personal
knowledge:

1. That I am competent to execute this affidavit, I am over the age 18 and am

familiar with the information contained herein

2. That I personally initiated contact with The Louis Law Firm, PLLC. and
retained them to represent me in a potential personal injury claim that occurred on
_____________.
07/09/2024

3. That the injuries I have sustained are legitimate, real and related to this incident
to the best of my knowledge.

4. That nobody coerced me, paid me, or promised to pay me for my involvement
in this incident, contacting or retaining The Louis Law Firm, PLLC or receiving medical
treatment nor have I coerced another, paid another, or promised to pay another for their
involvement in this incident.

5. That I am seeking legal advice in good faith and not for the purpose of
committing fraud upon the court or any of the parties that may be involved in this
incident.

6. That I have been given no guarantees as to the outcome of their personal injury
claim for this incident.

7. That I will reimburse The Louis Law Firm, PLLC. for quantum merit attorney
fees and costs should it be determined that I have engaged in any wrongdoing related
with this personal claim for this incident.

BY: __________________________

The foregoing Affidavit was acknowledged before me this _____ day of

_________________, 20____, by _________________, who is personal known to me or
who produced identification in the form of ___________________________________.

________________________
Notary Public

________________________
Print Name
My Commission Expires:
 AFFIDAVIT FOR INSPECTION OF VEHICLE

I, Lechuga Edouardo , hereby authorize The Louis Law Firm permission to

view, inspect my vehicle in connection with the traffic crash in which my automobile
was involved on 07/09/2024 . This affidavit shall also authorize
The Louis Law Firm to have my vehicle examined by an accident reconstruction expert of
their choice. It shall also authorize them to have my vehicle held in its' present condition
until the above tasks can be completed.

FURTHER, AFFIANT SAYETH NAUGHT

STATE OF
COUNTY OF

I HEREBY CERTIFY that on this day, before me, an officer duly authorized in
the State aforesaid and in the County aforesaid to take acknowledgments, personally
appeared , who is personally known to me or who has
produced as identification and who did take an oath.

WITNESS my hand and official seal in the County and State aforesaid this
day of , .

(NOTARIAL SEAL)

Name:
(Type or print)
Notary Public
My commission expires:
 The Louis Law Firm INTERNET/SOCIAL MEDIA GUIDELINES

The insurance company and defense attorneys pay close attention to social media
including Facebook, Instagram, Twitter, Snapchat, YouTube and other social media
channels. They may use information they find there against you in your case. Even if you
don’t think it can be found, or that it won’t jeopardize your case, you must not post anything
about your accident or physical condition. Doing so may negatively impact your case and
may affect our ability to represent you.

• DO NOT post anything on any social media about your accident, or your condition.
This includes posting comments such as “I’m doing fine”.

• DO NOT post any pictures of yourself on any social media site until the conclusion
of your case

The above guidelines have been explained to me. I understand and will
comply with them while The Louis Law Firm is representing me.

Lechuga Edouardo 07/09/2024

Client Date