Conflict Check Form - Impact Trial

Basic Information

First Name*

Last Name*

Primary Phone

Secondary Phone

Email*

Firm or Company Name*

Project Information

Project Name or Case Caption*

Case Number

Trial Start Date

Trial End Date

Venue, Court, or Location*

Judge assigned to your matter

Company (Companies) / Individual(s) you represent and their position:*

Name	Position	If Other, Explain

Co-Defendant / Plaintiff

Name	Counsel

Adversarial / Opposing Parties

Name	Opposing Counsel

Project Needs

Nature of Suit

Service of Interest

I am seeking support for:

Additional Comments

Phone

This field is for validation purposes and should be left unchanged.

Conflicts Check