STATE OF DELAWARE SUPERIOR COURT POLICIES AND PROCEDURES CONCERNING COMPLAINTS AGAINST SUPERIOR COURT EMPLOYEES EXTERNAL COMPLAINTSPolicy: Complaints from not employed by the Superior Courtshbehandled in a manner consistent withthe Superior Court222s public servicemission.Procedure:omplaintsreferred to the supervisor of the person against whom the complaintisfiled and .A response be provided by to the complainant and theCourtAdministrator promptly copy of written response provided to the person against whom the complaintwas filed.the complainant satisfied with response, thecomplainant sh be referred to the appropriate level and thegeneral procedures contained inection sh be followed. Superior Court Administrator Effective Date: , 201 1 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF DELAWARE COMPLAINT FORM You should not use this form to address a decision you disagree with in a court case. A.YOUR NAME : (Last) (First) (MI) Address: (Street) (City) (State) (Zip Code) Telephone: Home: ; Work: (Area Code) (Number) (Area Code) (Number) B.PERSON COMPLAINT IS AGAINST : NAME: AGENCY: POSITION (if known): C.STATEMENT OF COMPLAINT : Please fully and completely state all of the facts and circumstances of your complaint. PLEASE BE SPECIFIC, referring to relevant dates, times, and names of all persons involved. Attach as many additional pages as necessary to fully set forth all of the relevant facts and circumstances surrounding your complaint. Your Signature OR By Fax to : Date This form should be sent: By Mail to: Court Administrator222s Office 500 North King Street, Suite 2850 Wilmington, DE 19801 (302)255-2261 COURT USE ONLY: COMPLAINT NO. RECEIVED BY: DATE: DIRECTED TO: DATE: American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF DELAWARE Complaint Form Spanish FORMULARIO DE QUEJAS (Por favor escriba en imprenta o a m341quina) Fecha A.Mi nombre es: [S ] (Apellido) (Nombres) (Calle y (Ciudad) (Estado) (C363digo Postal) Direcci363n: n372mero) Tel351fono: ; del trabajo: (C363digo y n372mero) (C363digo y n372mero) B.Presento una queja en contra de: Nombre: Organismo: C.Descripci363n de la queja: Por favor incluya todos y cada uno de los hechos y circunstancias que motivan su queja. Por favor SEA ESPECIFICO y mencione fechas, horas y todas las personas involucradas. S355rvase usar todas las hojas adicionales que necesite para que claramente queden asentados los hechos relevantes. Fecha Firma No use este formulario para ventilar su desacuerdo con una decisi363n de un tribunal. Env355e el formulario a: Por Correo: The Court Administrator222s Office 500 N. King St., Suite 2850, Wilmington, DE 19801; o por Fax: (302) 255-2482 NO ESCRIBA AQUI/ COURT USE ONLY COMPLAINT NO. RECEIVED BY: DATE: DIRECTED TO: DATE: 1 American LegalNet, Inc. www.FormsWorkFlow.com