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Complaint Against Judge Under Code Of Judicial Conduct Form. This is a Tennessee form and can be use in Claim Forms Statewide.
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Tags: Complaint Against Judge Under Code Of Judicial Conduct, Tennessee Statewide, Claim Forms
Timothy R. Discenza, Disciplinary Counsel
P.O. Box 3088
Memphis, Tennessee 38173
Phone: (901) 523-0428
TENNESSEE COURT OF THE JUDICIARY
COMPLAINT AGAINST JUDGE UNDER CODE OF JUDICIAL CONDUCT
Your Name: _________________________________________________________________________________
(please type or print)
Address:
_________________________________________________________________________________
Phone:
Daytime (
)
Evening (
)_____________________________
I have information of possible misconduct or disability on the part of ________________________
(name of judge or acting judge) of the
Court in
(city),
(county), Tennessee.
STATEMENT OF FACTS
(You may attach additional pages if necessary)
1.
2.
When and where did this happen?
Date(s):
Time:
Location: ___________________________
If your information arises out of a court case, please answer these questions:
a)
What is the name and number of the case?
Case name:
Case No. _______________________
b) What kind of case is it?
criminal
domestic relations
general sessions
probate
civil
juvenile
other (specify)
______________________________________________________________________________________
c) What is your relationship to the case?
plaintiff/petitioner
defendant/respondent
attorney for
witness for
other (specify):
d) If you were represented by an attorney(s) in this matter at that time, please identify the attorney(s):
Name(s):
________________________________________________________________________
Address(es): ________________________________________________________________________
Phone: (
) ______________________________________________________________________
e) Identify any other attorney(s) who represented other parties involved in the case:
Name of attorney:
Address:
Phone: (
)
Represented:
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3.
List documents that help support your information that the judge or acting judge has engaged in misconduct
or has a disability, noting which documents you have attached:
4.
Identify, if you can, any other witnesses to the conduct of the judge or acting judge:
Name(s):
_______________________________________
Address(es):
Phone: (
)
(
)
5.
Specify below the details of what the judge or acting judge did that you think constitutes misconduct or
indicates disability. (Please type or print legibly; attach additional pages if necessary.)
I UNDERSTAND THAT STATE LAW PROVIDES THAT THE COURT OF THE JUDICIARY’S PROCEEDINGS ON THIS
REQUEST FOR INVESTIGATION ARE CONFIDENTIAL PRIOR TO THE FILING OF ANY FORMAL CHARGES BY DISCIPLINARY
COUNSEL.
UNDER PENALTY OF PERJURY, I SWEAR OR AFFIRM THAT THESE STATEMENTS AND INFORMATION CONTAINED
IN ANY ATTACHED DOCUMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND CONSTITUTE ALL OF MY COMPLAINTS
AS OF THIS DATE AGAINST THE ABOVE-NAMED JUDGE OR ACTING JUDGE.
SIGNATURE:
DATE: ________________________________
STATE OF
____________________________________________
COUNTY OF ____________________________________________
SWORN TO AND SUBSCRIBED
day of
, 20
.
Notary Public: _____________________________________________________
My Commission Expires: ____________________________________________
American LegalNet, Inc.
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