N.D. Cal. Civil L.R. 3-15

(a) Requirements. Each non-governmental party must:

(1) file a “Conflicts, Interested Entities and Persons, and Citizenship” with its first

appearance, filing, or other request addressed to the court;

(2) file such Certification as a separate document; and

(3) promptly file a supplemental Certification if any required information changes.

(b) Contents.

(1) The Certification must disclose whether the party is aware of any conflict, financial

or otherwise, that the presiding judge may have with the parties to the litigation.

(2) The Certification must also disclose any persons, associations of persons, firms,

partnerships, corporations (including, but not limited to, parent corporations), or any

other entities, other than the parties themselves, known by the party to have either: (i)

a financial interest of any kind in the subject matter in controversy or in a party to the

proceeding; or (ii) any other kind of interest that could be substantially affected by

the outcome of the proceeding. This includes an individual or entity (other than a

party or its counsel of record) that provides funding for the litigation and that has a

financial interest in the outcome of the litigation. Disclosure of the existence of a

litigation funding agreement does not require the disclosure of the agreement itself

absent court order.

(3) In an action in which the Court’s jurisdiction is based on diversity under 28 U.S.C. §

1332(a), each party must include a statement of citizenship in their Certification. The

statement must name—and identify the citizenship of—every individual or entity

whose citizenship is attributed to that party.

(i) If a party is a limited partnership, limited liability partnership, limited

corporation, or limited liability corporation, the statement must disclose the

identity and citizenship of such entity’s members. If any of those members is

itself a limited partnership, limited liability partnership, limited corporation,

or limited liability corporation, the statement must disclose the identity and

citizenship of that member’s members. This disclosure must continue

through any chain of membership until all persons or entities whose

citizenship is attributed to the party have been identified.

(ii) If any later event might affect the court’s jurisdiction under § 1332(a), the

parties must file an updated version of their Certification.

(4) For purposes of this Rule, the terms “proceeding” and “financial interest” shall have

the meaning assigned by 28 U.S.C. § 455 (d)(1), (3) and (4), respectively.

(c) Form of Certification.

(1) If there is a conflict about which the party is aware, the Certification shall state:

“Pursuant to Civil L.R. 3-15, the undersigned certifies that it is believed that the court

has a conflict with (List names).”

(2) If there is an interest to be disclosed, the Certification shall state:

“Pursuant to Civil L.R. 3-15, the undersigned certifies that the following listed

persons, associations of persons, firms, partnerships, corporations (including, but not

limited to, parent corporations), or other entities (i) have a financial interest in the

subject matter in controversy or in a party to the proceeding, or (ii) have a non-financial interest in that subject matter or in a party that could be substantially

affected by the outcome of this proceeding: (List names and identify their connection

and interest).”

(3) If there is no conflict or interest to be disclosed, the Certification shall state:

“Pursuant to Civil L.R. 3-15, the undersigned certifies that as of this date, there is no

conflict or interest (other than the named parties) to report.

(4) In an action in which the Court’s jurisdiction is based on diversity under 28 U.S.C. §

1332(a), if there is no individual or entity whose citizenship may be attributed to the

party submitting the Certification pursuant to subsection (b)(3), the Certification shall

state:

“Pursuant to Civil L.R. 3-15, the undersigned certifies that as of this date, there is no

individual or entity whose citizenship is attributed to the party submitting this

certification.”

(5) In an action in which the Court’s jurisdiction is based on diversity under 28 U.S.C.

§ 1332(a), if there is an individual or entity whose citizenship may be attributed to

the party submitting the Certification pursuant to subsection (b)(3), the Certification

shall state:

“Pursuant to Civil L.R. 3-15, the undersigned certifies that as of this date, the

citizenship of the following individuals or entities is attributed to the party submitting

this certification:

Individual/Entity Citizenship of Individual/Entity

The party’s Certification shall be signed by the Attorney of Record or Pro Se Party.