Download PDF LAW OFFICE OF MELISSA A. RASKEY Attorney At Law Physical Address: 27186 Newport Rd., Ste. 2, Menifee, CA 92584 Mailing Address: PO Box 5316, Hemet, California 92544 Telephone: (866)-411-6659 • Facsimile: (866) 612-1595 ELECTRONIC COMMUNICATION CONSENT FORM CONDITIONS FOR USE OF Electronic Communication The Law Office of Melissa Raskey will use reasonable means to maintain security and confidentiality of electronic communication information sent and received. You must acknowledge and consent to the following conditions: 1) You are agreeing to allow the Attorney and any employees, representatives, associates, and independent contractors of the Law Office to communicate with you by electronic means by providing your email address below and telephone number to accept text messages. 2) Electronic communications related to your legal representation by this office will be recorded in your legal file, just as telephone calls will be. RISK OF USING Electronic Communication Transmitting information by electronic means has risks that you should consider. These include, but are not limited to, the following: 1) Electronic communications can be interpreted, altered, forwarded or used without authorization or detection. 2) Electronic communications can be circulated, forwarded and stored in paper and electronic files. 3) Electronic communication senders can type in the wrong E-Mail address. 4) Electronic communications may be lost due to technical failure during composition, transmission and/or storage. CLIENT ACKNOWLEDGEMENT AND AGREEMENT I have read and fully understand the information in this authorization form. I consent to the Electronic communication conditions and agree to abide by the guidelines listed above. I further understand that this Electronic Communication relationship may be terminated if I repeatedly fail to adhere to these guidelines. I understand and accept the risks associated with the use of unsecured Electronic communications. I further understand that, as with all means of electronic communication, there may be instances beyond the control of the Law Office or the Client where information may be lost or inadvertently exposed, such as during technical difficulties, acts of God, acts of war and so forth. Please provide the email address where you would like the Law Office to communicate by Electronic means with you:Client’s Email address: Email Client’s cell phone for text messaging:Phone I/We give authorization for The Law Office of Melissa Raskey to communicate by electronic means during our legal representation by the Law Office. By signing this document you are agreeing and verifying that you have read, you understand, and you agree to the terms above. Debtor’s signature:SignatureDate:Date MM slash DD slash YYYY Co-Debtor’s signature:SignatureDate:Date MM slash DD slash YYYY Add an attachmentMax. file size: 32 MB.
