Company Letterhead (To be completed by the requesting SME)
{{company_name}}
{{company_address}}
{{phone}}
{{email}}
{{website}}
I. General Information and Engagement Details
1.1 Date of Questionnaire: {{date}}
1.2 Name of SME Representative Completing Form: {{sme_representative_name}}
1.3 Contact Information of SME Representative: {{sme_representative_contact}}
1.4 Brief Description of Legal Matter/Services Required: {{legal_matter_description}}
1.5 Anticipated Commencement Date of Services: {{start_date}}
1.6 Desired Completion Date (if applicable): {{completion_date}}
II. Lawyer/Law Firm Credentials and Experience
2.1 Name of Lawyer/Law Firm: {{lawyer_firm_name}}
2.2 Primary Contact Person (if firm): {{primary_contact_person}}
2.3 Years in Practice (Lawyer) / Years Established (Firm): {{years_in_practice}}
2.4 Area(s) of Specialisation Relevant to our Needs: {{areas_of_specialisation}}
2.5 Provide three (3) references from current or former clients (with consent):
a. Client Name: {{client_reference_1_name}}, Contact: {{client_reference_1_contact}}
b. Client Name: {{client_reference_2_name}}, Contact: {{client_reference_2_contact}}
c. Client Name: {{client_reference_3_name}}, Contact: {{client_reference_3_contact}}
2.6 Has the lawyer/firm ever been subject to disciplinary action by a regulatory body? Yes/No. If Yes, please provide details: {{disciplinary_action_details}}
III. Fee Structure and Billing
3.1 What is the proposed fee structure? (e.g., hourly, fixed fee, retainer, contingency): {{fee_structure}}
3.2 If hourly, what is the hourly rate for each professional involved? (e.g., Senior Partner: {{senior_partner_rate}}, Associate: {{associate_rate}}, Paralegal: {{paralegal_rate}})
3.3 Are there any additional costs or disbursements not included in the fee? (e.g., filing fees, travel expenses, expert witness fees): {{additional_costs}}
3.4 How frequently are invoices issued? {{billing_frequency}}
3.5 What are the payment terms? {{payment_terms}}
3.6 Is a detailed breakdown of services and expenses provided in invoices? Yes/No.
IV. Communication and Reporting
4.1 What is the preferred method of communication? (e.g., email, phone, in-person meetings): {{preferred_communication}}
4.2 How often can we expect updates on the progress of our matter? {{update_frequency}}
4.3 Who will be our primary point of contact? {{primary_contact_lawyer}}
4.4 How quickly can we expect a response to enquiries? {{response_time}}
V. Conflict of Interest
5.1 Have you conducted a conflict of interest check regarding our company and the specific matter? Yes/No.
5.2 Are there any known or potential conflicts of interest that could arise? If Yes, please explain: {{conflict_of_interest_explanation}}
VI. Insurance and Professional Indemnity
6.1 Does the lawyer/firm hold valid professional indemnity insurance? Yes/No.
6.2 What is the coverage limit of the professional indemnity insurance? {{insurance_coverage_limit}}
6.3 Please provide proof of insurance upon request.
VII. Final Assessment and Decision
7.1 Overall assessment of the lawyer/firm's suitability (SME to complete): {{overall_assessment}}
7.2 Key strengths identified: {{key_strengths}}
7.3 Potential concerns (if any): {{potential_concerns}}
7.4 Decision: Hired / Not Hired / Further Information Required (SME to select)
7.5 Reason for Decision: {{reason_for_decision}}
VIII. Signature Block
_____________________________
Printed Name: {{sme_representative_name}}
Title: {{sme_representative_title}}
Date: {{date}}
_____________________________
Printed Name: {{lawyer_firm_representative_name}} (for acknowledgment of questionnaire receipt)
Title: {{lawyer_firm_representative_title}}
Date: {{date}}
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