Attorney Application

Attorney Application

Thank you for your interest in membership in the National Retail and Restaurant Defense Association (NRRDA). Membership is open to attorneys with a major portion of their current and active practice dedicated to retail and restaurant defense work. Membership dues are $575.00 per year. Membership is subject to approval by the Membership Committee.

When filling out the application, please provide three references, from at least two different companies, for cases in retail and restaurant defense that you are currently handling or have handled in the past two years. Your references will be contacted about the pending/past cases you are or have been handling. Please include references that have significant active cases.

You will be contacted after your completed application is received. If you have any questions or require additional information, please feel free to contact the NRRDA office at 847-324-7050.

* Indicates required field

Name *

First

Last

Firm Name *

Firm Website *

Nature of Business *

Date of Hire (Month/Year) *

Work Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name of Retail/Restaurant Clients *

Years in Practice *

Years in retail and/or restaurant defense *

# of Retail/Restaurant Cases in last 5 years, include the # of trials in this time frame. (note: trial experience is not a requirement for acceptance) *

States you are actively practicing in: *

How did you hear about NRRDA? Please let us know who referred you to NRRDA? *

Is there a current NRRDA member in your firm? *

If yes, please provide the name: *

Please list the percentage of your business time spent working for the following. If a category does not apply to you, please enter zero.

Insurance/TPA % *

Retail/Restaurant % *

Government % *

Private Individuals % *

Other *

If "Private Individuals" and/or "Other" is noted, please explain: *

Do you have any personal trial experience that would contribute to your application?

If so how many trials? *

Previous Employment

Please list previous firms you have been employed by

Previous Firm #1 *

Address *

Retail/Restaurant clients *

Previous Firm #2 *

Address *

Retail/Restaurant clients *

Previous Firm #3 *

Address *

Retail/Restaurant clients *

Have you ever sued or been sued by a Retail/Restaurant entity? *

No Yes

If yes please provide Case Number and State: *

Have you ever sued or been sued by an Insurance company? *

No Yes

If yes please provide Case Number and State: *

Educational Background

Graduate/Law School and Degree *

College/Degree *

Bar Licenses Held (Include Admission Dates) *

Have you been convicted of a felony, or has been sanctioned or had your license revoked, suspended or censured? *

If yes provide details: *

Have you ever been or worked for a plaintiff in connection with a Retail/Restaurant or insurance matter other than a subrogation claim or contractual dispute? *

If yes provide details: *

Do you belong to any other associations in the retail, restaurant or legal industries? *

If yes provide details: *

Industry References

Please list contact information for three individuals employed by at least two different retail or restaurant companies with cases for which you are currently handling or have handled in the past two years.

Your references will be contacted about the pending/past cases you are or have been handling. Please include references that have significant active cases.

Reference #1 *

First

Last

Email *

Company *

Phone Number *

Reference #2 *

First

Last

Email *

Company *

Phone Number *

Reference 3 *

First

Last

Email *

Company *

Phone Number *

Any member of NRRDA, or their organization, firm, subsidiary, affiliate or related business may not represent, consult for or testify on behalf of plaintiffs in a personal injury case against a NRRDA industry member or an insured of a NRRDA industry member. If any firm or organization has even one individual who violates this provision, the entire firm or organization and all current NRRDA members from that firm or organization will have their membership revoked. If the case is dropped or resolved after NRRDA membership has been revoked, re-application by all those removed will be required. Attorneys in private practice who wish to join NRRDA must submit an Attorney Member Application for membership. Only attorneys who regularly defend retail and restaurant companies or companies affiliated with these industries and whose law firm does not regularly represent plaintiffs are eligible for membership.

Applicant Signature *

Date *

NRRDA is a not-for-profit association.

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