A division of the University of Maine Student Government, Inc. a 501(c)3 not-for-profit corporation.
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THE FOLLOWING TWO FORMS ARE FOR STUDENT LEGAL SERVICES CLIENTS ONLY, UMSG AND STUDENT ENTERTAINMENT FORMS ARE AFTER THE LINE FURTHER DOWN THE PAGE.
intake form
By submitting the form below you acknowledge that submission alone does not establish an attorney-client relationship as a conflicts check must be completed. Should you be eligible for assistance, a legal consultation will be set up in person or via zoom for providing legal advice, which may be repeated as needed. On-going or in-court representation is not guaranteed, but may be agreed to by signing a separate form.
Please note that confidentiality rules apply to communications once the attorney client relationship is established and on most requests for assistance such as this, and must be waived if you would like me to speak with a parent, significant other, or other person, otherwise confidentiality can only be breached if you give permission or if you have a present or future intent to harm someone. Attorney O’Mara works for the University of Maine Student Government, Inc. a separate non-profit not the University of Maine, and as such aside from present or future intention towards harming someone, your information cannot and will not be shared with the University.
Intake Form
release of confidentiality
By submitting the form below, I authorize Attorney O’Mara to discuss confidential case information with the below-listed parties. I understand that this material would normally be confidential under the rules governing the Maine Bar, and that any client information will only be released to authorized parties, or as required or permitted by law and by the Maine Bar Rules. I further understand that this material is protected by attorney-client privilege, and that disclosures to a third party may not be similarly protected in any court proceeding.
I understand that no confidential material or information will be released to the below-listed party without specific permission except where provided by law. I also understand that I have the right to review copies of any written documentation or material released prior to the release if I request to do so. I understand I am entitled to a copy of this release upon request.
I have the right to withdraw permission in writing at any time. Withdrawal of permission will not cover information or material already released by that date, but will prevent any further release. Unless withdrawn, this release will remain in effect for a maximum of 12 months.
Release of Confidentiality
Student Government club covid waiver
Student Organization Covid Waiver
Student Government employee and volunteer confidentiality agreement
UMSG Confidentiality Form
CONFIDENTIALITY FORM FOR EVERYONE WHO IS NOT AN EMPLOYEE, SENATOR OR VOLUNTEER BOARD MEMBER OF UMSG, INC.