In order for a presiding judicial officer to be aware of any potential issues
regarding judicial disqualification on the basis of financial information unknown to the
Court, a non-governmental corporate party to any civil or criminal proceeding, and the
government in a criminal proceeding, must provide the Court with sufficient information
to allow the judge to make an informed decision about any potential conflict of interest
pursuant to the applicable Federal Rules of Civil Procedure, Federal Rules of Criminal
Procedure and Rules Governing Judicial Conduct.
(a) Form Provided by the Clerk of Court: The Clerk of Court shall provide a
form on the Court Internet Site (www.wvnd.uscourts.gov) that parties
may use to provide any statement required by this Rule or, in lieu
thereof, a party may prepare and file a similar statement containing
the same information required by this Rule.
(b) Form Filed by Counsel: The form shall be filed by counsel in CM/ECF.
