Client Service Refusal Notice

CLIENT SERVICE REFUSAL NOTICE

Provider Name:

Provider Address:

Client Name:

Client Address:

WHEREAS

WHEREAS, Provider and Client entered into an engagement for services described below pursuant to a prior agreement or understanding dated , or by oral agreement referenced herein; and

WHEREAS, Provider has determined that continuing or commencing the requested service would be inappropriate, impermissible, or otherwise inconsistent with Provider's policies, professional obligations, or applicable law; and

WHEREAS, Provider desires to provide formal written notice of refusal and to set forth remaining obligations, payment, and return-of-property procedures so the parties have a clear record.

NOTICE OF SERVICE REFUSAL

Notice: Provider hereby refuses to provide the following requested services to Client effective (Effective Date). This refusal is limited to the scope and conditions set forth in this Notice.

REASONS FOR REFUSAL

The refusal is based on one or more of the following reasons (check all that apply):

Conflict of interest Scope outside expertise Illegal or unethical request

Nonpayment or delinquent account Safety or legal risk Other

SCOPE OF WORK (IF APPLICABLE)

PAYMENT TERMS

Outstanding Amount Due: $

Late Fee and Interest: Any unpaid amounts not remitted within days of invoice or demand shall accrue interest at and Provider may recover collection costs and reasonable attorneys' fees.

TERM AND TERMINATION

Term Start Date:    Term End Date (if any):

Notice Period for Termination: Either party may terminate any further obligation upon written notice, except that Provider may immediately refuse or suspend services where required by law, safety concerns, or professional ethics.

RETURN OF MATERIALS AND ACCESS

Provider will return or securely dispose of Client materials in Provider's possession in accordance with any applicable agreement or law. If Client requests return of physical materials, Client shall reimburse reasonable shipping and handling costs.

CONFIDENTIALITY

All confidential information received by Provider from Client prior to the Effective Date of this Notice shall be maintained in confidence and used solely for winding-up obligations and permitted purposes. Provider shall not disclose Confidential Information except as required by law or with Client's written consent. Confidential Information excludes information that is or becomes publicly available through no fault of Provider, independently developed by Provider without use of Client information, or rightfully received from a third party without obligation of confidentiality.

GOVERNING LAW

This Notice and any dispute arising out of or relating to it shall be governed by the laws of , without regard to conflict-of-law principles.

ENTIRE AGREEMENT

This Notice, together with any signed prior engagement letter expressly incorporated by reference, constitutes the entire agreement between Provider and Client with respect to the subject matter hereof and supersedes all prior understandings, representations, and agreements, whether written or oral.

NOTICES

ACKNOWLEDGMENT

By signing below, the parties acknowledge receipt of this Client Service Refusal Notice, confirm that the information provided herein is true and correct to the best of their knowledge, and understand the consequences set forth in this Notice.

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