Date:  

Certificate of Service — I certify that a true copy of this 

Notice was delivered or mailed to the other parties or their 

lawyer(s) and to the client whose representation has been 

completed on (date):  

Sign here:  

. 

 

LSR – 3 

Rev. 3/12 

Notice of Completion of  
Limited Scope Representation 

Case Number:  
 

 In the (check one):  (cid:134) Circuit  (cid:134) District  (cid:134) Juvenile Court of  

 County, Alabama  

 
 

Plaintiff’s Name 

Defendant’s Name  

 

  v. 

 

 

1 

I (lawyer’s name),  

  , filed a Notice of 

Limited Scope Representation in this case on (date):  
limited scope representation to the (check one):  (cid:134) Plaintiff   (cid:134) Defendant, whose last known 
contact information is listed below: 

  , and agreed to provide 

city 

state 

zip code 

 

(           ) 
phone #  

  My work under the limited scope representation agreement has been completed. I am no longer 

the lawyer for the (check one):  (cid:134)  Plaintiff   (cid:134)  Defendant 

 

 

 

3  After signing above, you must: 

1.  Fill out the box to the right, then   

2.  Mail or deliver a copy of this form to  
the other party or his/her lawyer and  
to the client whose representation has 
been completed. 

3.  File the original of this Notice with the  

court clerk. 

 

awyer’s signature:  

  L

 
 
party’s name 

 

 
address  

  2

 

Rev. 3/12 

© 2012 Alabama State Bar 



Microsoft Word - Notice End LRep_PL11.doc

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