Medical Service Agreement

Medical Liens

SERVICE AGREEMENT FORM
New Clients: Once we’ve received your signed agreement, we will generate login credentials for you and send over information on how to submit your first prelien! As always, don’t hesitate to reach out with any questions.

TERMS

Titan Lien Services LLC, an Arizona Limited Liability Co. (herein after “Titan Lien Services”) will provide clerical and related information gathering services for the preparation and purpose of legal document preparation, and all claims relating thereto according to the following terms and conditions.

Titan Lien Services will prepare and process legal document preparation /claims for customers, after receiving such requests in writing, via-email, by telephone, or fax, from the customer or an authorized agent for said customer. The customer agrees to provide all known information pertinent to completing documents and notices.

The customer will provide information within a minimum lead time of 5-7 business days, for processing and service, except for expedited service offered by Titan Lien Services.

Titan Lien Services will gather all appropriate information from one or more of the following public and private sources:

• Direct contact with those parties involved.
• Ownership information from county tax assessment records (if applicable).

The services provided by Titan Lien Services are designed to provide all customers with accurate and timely preparation and service of legal document preparation/claim notices. Every reasonable effort will be made to gather reliable information; all information is gathered from outside public records and private sources without independent verification. Accordingly, no representation is made as to its ultimate accuracy.

Titan Lien Services are provided with the express knowledge that we do not engage in providing legal advice, and are not in the practice of law.

The customer agrees to hold Titan Lien Services, it’s officers, agents, and employees harmless for all claims resulting from any loss, damage or injury, of any and every nature whatsoever, including special or consequential damages, including attorney’s fees resulting from, or in any way connected with the preparation, service, and/or recording of legal documents, related claim notices, or other services rendered.

The customer appoints Titan Lien Services as limited agent to execute legal documents or related claim notices and to complete the requisite declarations of service. Titan Lien Services will provide a completed copy of each legal documents and/or related claim notice to customer.

The customer agrees to pay for the above referenced services upon receipt of invoices and billings generated on a monthly basis. All invoices are due in full by the 30th of the month. The customer agrees to pay a 1.5% service charge on all balances outstanding after the 30th (Minimum $1.00). In the event of a default in payment, the customer agrees to pay reasonable attorney fees and collection costs if any part of the account is placed with an attorney or collection agency, whether or not court action is taken or a judgment is rendered.

ACCEPTED BY: