Legal Confidentiality Claim Form

LEGAL CONFIDENTIALITY CLAIM FORM

This Confidentiality Claim Form is submitted by Client Name: (hereinafter "Claimant") to Recipient Name: (hereinafter "Recipient") on Date Submitted: .

RECITALS

WHEREAS, Claimant has produced or will produce certain documents, electronically stored information, and tangible items that Claimant contends contain confidential, proprietary, or privileged information; and

WHEREAS, Claimant seeks to designate specific materials as Confidential and requests that such materials receive protection from public disclosure or use beyond the purposes of the underlying matter; and

WHEREAS, Recipient acknowledges receipt of this claim and the need to record and process the claim in accordance with applicable protective orders, rules of procedure, and applicable law.

NOW THEREFORE

In consideration of the mutual covenants contained herein and other good and valuable consideration, the sufficiency of which is acknowledged, the parties agree as follows:

1. IDENTIFICATION OF MATERIALS

1.1 Claimant hereby identifies the materials for which confidential treatment is claimed. Title/Description: Production Identifier(s) or Bates Range:

1.2 Form of Material: check all that apply:

Document Electronically Stored Information Tangible Item Other

2. BASIS FOR CONFIDENTIALITY

Claimant asserts that the designated material is entitled to confidential treatment for the following legal and factual reasons (check all that apply and provide supporting detail where indicated).

Trade secret or commercial confidential information
Attorney-client privilege / work product
Personal identifying or privacy-protected data
Confidential commercial information (pricing, strategies)
Other — Describe:

3. SCOPE OF REQUESTED TREATMENT

3.1 Requested designation(s) (select all that apply):

Confidential — limited to counsel and persons authorized by protective order
Highly Confidential — restricted to outside counsel only
Restricted — limited use and non-disclosure beyond litigation

3.2 Duration of requested protection:

4. PROCEDURE FOR CHALLENGE

4.1 If Recipient seeks to challenge this claim, Recipient must provide written notice to Claimant describing the basis for the challenge. Claimant shall have days from receipt of such notice to respond and to seek such relief as permitted under governing procedures.

4.2 Until the challenge is resolved by agreement of the parties or by order of the court or tribunal with authority over the matter, the materials shall continue to be treated as designated.

5. REMEDIES AND INJUNCTIVE RELIEF

Claimant asserts that unauthorized disclosure of the designated materials would cause irreparable harm for which monetary damages would be an inadequate remedy, and Claimant reserves the right to seek injunctive relief and any other remedies available at law or in equity to prevent disclosure or further dissemination.

6. CERTIFICATION

I certify that, to the best of my knowledge and belief, the information provided in this Confidentiality Claim Form is true and accurate; that the materials identified contain the confidential information described above; and that the claim is made in good faith and not for the purpose of undue delay or harassment. I further certify that I am authorized to make this claim on behalf of the Claimant.

7. SUPPORTING MATERIALS

8. NOTICES

All notices required or permitted under this form shall be in writing and delivered to the contact information provided above. Notice is effective upon receipt when delivered by hand, overnight courier, or by electronic mail where delivery is acknowledged in writing by the recipient.

9. GOVERNING LAW

This Confidentiality Claim Form shall be governed by and construed in accordance with the substantive laws of the jurisdiction applicable to the underlying matter, without regard to conflict of laws principles.

10. ENTIRE AGREEMENT; SEVERABILITY

This form constitutes the entire statement of the confidentiality claim and supersedes any prior oral or written statements concerning the same. If any provision of this form is held to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect.

11. AMENDMENTS, WAIVER, COUNTERPARTS

No amendment or waiver of any provision of this form shall be effective unless in writing and signed by the party against whom enforcement is sought. This form may be executed in counterparts, each of which shall be an original and all of which taken together shall constitute one instrument.

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