Attorneys’ Fee Dispute

Centralized Process for
Representative Appointment Attorneys’
Fee Dispute

Attorneys' Lien Assertion Form (Notice of Attorneys' Lien)

Statement of Attorneys' Fees and Costs

Attorneys' Lien Statement of Dispute Verification Form

Sworn Statement Verification Form for Unrepresented Players

Withdrawal of Attorneys' Lien Dispute Form

Most Viewed Forms

Claim Form for Retired NFL Football Players and Representative Claimants

Pre-Effective Date Diagnosing Physician Certification Form

MAF Diagnosing Physician Certification Form

Authorization for Release of Claims Information (Appendix A)

Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Retired Player)

Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Knowledgeable Informant)

BAP HIPAA Form

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