Request for Litigation Funding Support

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* 1. Name of requesting NAELA member

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* 2. Email

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* 3. Phone

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* 4. Company/Organization

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* 5. Please provide the names of all parties to the case and the names of the attorneys representing litigants.

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* 6. Please provide the stage of the litigation and applicable deadlines.

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* 7. Please indicate any additional deadlines the committee should keep in mind when considering your application.

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* 8. Please provide a detailed summary of the issues at stake in the case and relevant case law that supports the position NAELA is being asked to take.

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* 9. What is the anticipated effect of the litigation?

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* 10. Does this case present a conflict with any previous NAELA position?

Yes

No

Do not know

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* 11. Can you provide access to materials and individuals at the firm preparing the case to ensure a greater likelihood of a successful outcome? If so, please upload a copy of any relevant materials — PDF file only.

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* 12. Please provide the contact information for the attorney or firm working on the case to ensure they have no conflict of interest.

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* 13. Please upload a detailed budget estimate to fund the litigation (including the attorney’s hourly rate), including additional sources of identified funding to meet the needs of the case beyond what the NAELA Foundation is able to provide (typically, $5,000–$20,000) — PDF file only.

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* 14. Any additional comments

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* 15. Acknowledgements

I acknowledge that the request for litigation funding support may or may not be approved.

I acknowledge that the responsible attorney identified by the requester remains responsible for any and all deadlines and work related to the case.

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* 16. Signature — Please type your full name to serve as your signature.

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* 17. Date