Get Conflict Waiver Request Form.doc

Filling out the Conflict Waiver Request Form is an important step in addressing potential conflicts of interest for legal representation. This guide will assist you in completing the form accurately and efficiently in an online format.

Follow the steps to successfully complete the Conflict Waiver Request Form

1. Click 'Get Form' button to access the Conflict Waiver Request Form and open it in the online editor.
2. In Section A, begin by filling out the requesting law firm section. Provide the name of the attorney requesting the waiver, the law firm’s name, address, and phone number. Ensure correct details to avoid delays.
3. Specify the date by which you are requesting a waiver decision. This date is crucial for timely processing.
4. Describe the conflict you believe exists clearly and concisely to provide context for your request.
5. Outline the work that has been or is currently being performed for Medtronic. This detail helps in understanding the nature of the potential conflict.
6. List the names of attorneys from your firm involved in the prior and/or current matter. Accurate identification is necessary for review.
7. Indicate if you have obtained a waiver from the other party regarding this issue. If not, provide an explanation.
8. State whether you have previously asked any Medtronic employee for a waiver in relation to this matter, and if so, include an explanation.
9. If you are seeking any limitations on the waiver request, clarify those limitations, such as specific matters or individuals within your firm.
10. Provide any additional relevant information that would assist in granting informed consent regarding the waiver.
11. Once you have filled in all necessary sections, ensure to review the form for accuracy, then save your changes. You can download, print, or share the completed form as needed.

Complete your Conflict Waiver Request Form online today for a smoother processing experience.