CONFLICT OF INTEREST DISCLOSURE FORM and AGREEMENTNovember 25th, 2010FiledNovember 25th, 2010WHEREAS [fill in the name of the corporation, union, government entity or health plan] (“CLIENT”) is considering the retention of a consulting firm; and
WHEREAS [fill in the name of the corporation, union, government entity or health plan] (“CLIENT”) is considering the retention of a consulting firm; and