WAIVER OF ATTORNEY-CLIENT CONFIDENTIALITY
I, ______________________, am a client of _______________________ at
(SLS attorney)
Student Legal Service, University of Illinois at Urbana-Champaign.
I
understand that I have an attorney-client relationship wherein all
communications are protected from disclosure by my attorney to third parties.
Third parties include my parents or guardians.
T
here are circumstances in which a client may wish to have a parent, spouse,
guardian, or others speak with an attorney about the case.
• A client is NOT required to consent to disclosure to third parties.
• A client should only waive attorney-client confidentiality of his/her/their
own free will.
• A client should understand that the third party can potentially disclose
client confidential information to the larger community and is also subjec
t
to
subpoena to testify against the client in court concerning disclosed
information.
I
have read and understand the foregoing information and hereby waive
attorney-client confidentiality and will permit my attorney to speak with
___________________________________________________________.
(Name of person or names of people you give permission to speak with your attorney.)
_
____________________________
Client Signature
NOTE: This document must be signed in the
presence of a Notary Public. Do NOT sign
before the Notary tells you it is okay to sign.
ST
ATE OF ______________ )
) SS.
COUNTY OF ____________ )
Sworn and subscribed before me this ____ day of ______________, 20__.
_
____________________________ (seal)
Notary Public