COMPLAINT FORM PC-41 REV. 1/1 COUNCIL ON PROBATE JUDICIAL CONDUCT c/o Richard , Esq., This form may be used to file a complaint against a probate judge, a candidate for probate judge, probate magistrate or an attorney probate referee. The form is designed to provide the Council on Probate Judicial Conduct with the information necessary to review your complaint. Instructions: Before you consider completing the form, read Procedures for Filing a Complaint with the Council on Probate Judicial COMPLAINANT (Name, address, zip code, and telephone number) DATE: NAME OF JUDGE, JUDICIAL CANDIDATE, PROBATE MAGISTRATE OR ATTORNEY PROBATE REFEREE AGAINST WHOM COMPLAINT IS MADE (List probate district and district number for judges and judicial candidates.) NATURE OF COMPLAINT (Include dates.) WITNESSES OR OTHERPERSONS HAVING KNOWLEDGE OF SUBJECT OF COMPLAINT (Give names, addresses, and telephone numbers.) Subscribed under penalty of false statement on (Insert month, day, and year): Complainant's Signature: American LegalNet, Inc. www.FormsWorkFlow.com