Rev. 3/12 © 2012 Alabama State Bar
LSR – 1
Rev. 3/12
Notice of Limited Scope Representation
(Family Law Cases)
Case Number:
In the (check one): Circuit Juvenile Court of County, Alabama
v.
Plaintiff’s Name Defendant’s Name
1
Lawyer’s Information
name
address city state zip code
( ) ( )
phone # e-mail fax #
2
I am the lawyer listed in
1
. I agree to provide limited scope representation to the (check one):
whose contact information for service is:
party’s name
address city state zip code
( ) ( )
phone # fax #
3
I agree to represent the party listed above (check all that apply):
At the hearing (date): and at any continuance of that hearing
Until the court’s order after that hearing
Until issues checked in
f
below are settled, by agreement or by trial
Other
(explain and give dates):
4
I agree to be the lawyer for this case only for the following issues (check all that apply):
a. Child Support (check all that apply): Get an order Enforce an order
Change an order
(explain):
b. Spousal Support (check all that apply): Get an order Enforce an order
Change an order
(explain):
c. Restraining Order (check all that apply): Get an order Enforce an order
Change an order
(explain):
d. Custody / Visitation (check all that apply): Get an order Enforce an order
Change an order
(explain):
e. Property Division (explain):
f. Retirement Benefits
(explain):
g. Contempt
(explain):
h. Other
(explain):
i. See attachment.
Plaintiff,
Defendant,
