Legal Conflict Check Form
Screen for potential conflicts before accepting or assigning a legal matter. Please provide comprehensive details for review.
Prospective Client or Matter Name
*
Primary Contact Name
*
Role of the Prospective Client
*
Please Select
Individual
Business/Corporation
Government Entity
Nonprofit/Charity
Other
Opposing Parties (List all known)
*
Matter Type
*
Litigation
Transactional
Regulatory
Intellectual Property
Employment
Family Law
Real Estate
Other
Brief Matter Summary
*
Jurisdiction(s) Involved
*
Federal
State
County/Local
International
Other
Related Entities (e.g., affiliates, subsidiaries, parent companies)
Has this firm previously represented or had any relationship with the prospective client or any opposing party?
*
Yes, with the prospective client
Yes, with an opposing party
No prior relationship
Unknown
Urgency or Critical Dates (e.g., deadlines, court dates)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are there any existing adverse interests or known conflicts?
*
Yes, with details provided below
No known adverse interests
Uncertain, further research required
Conflicts Search Notes (summarize search process and findings)
Internal Review Outcome
*
No conflict found – cleared
Potential conflict – escalate for further review
Conflict found – matter cannot proceed
Pending additional information
Submit Conflict Check
Should be Empty: