RULES OF THE SUPERIOR COURT OF THE STATE OF NEW HAMPSHIRE

    167. All petitions for approval of lump sum settlements shall include the following:

        (a) A brief description of the accident and of the injuries sustained;

        (b) A complete medical report, together with a current detailed prognosis;

        (c) An itemized list of all medical expenses, indicating whether the same have been paid, and if so, by whom;

        (d) Dates and total amount of compensation paid;

        (e) The amount of counsel fees, which shall be subject to Court approval;

        (f) The total amount of settlement and net amount to be realized by the claimant; and

        (g) A prayer requesting approval of the settlement.

    The attorney and claimant will ordinarily be required to appear in support of the petition.

    An attorney's fee in excess of 25% of the settlement will not be ordinarily allowed unless upon good cause shown.