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Docket # ______ For Office Use Only Complaint Before the Board of Professional Responsibility Attorney you are filing this complaint against: Name _______________________________________________ Address______________________________________________ City/State/Zip _________________________________________ Daytime Phone _________________________________________ ____________________________________________________ Person filing this complaint: Name _______________________________________________ Address______________________________________________ City/State/Zip _________________________________________ Daytime Phone _________________________________________ ____________________________________________________ If you have complaints regarding more than one attorney, please complete a separate form for each. Please answer the following questions: 1. Did or does this attorney represent you? Yes No 2. If yes, when did you hire this attorney? _______________________________________________ 3. If no, whom does this attorney represent? ______________________________________________ 4. What type of legal work was/is involved? (Check more than one if appropriate.) Real Estate Personal Injury Family Law/Divorce Criminal Law Corporate/Commercial Wills/Estates/Probate Other (please specify)____________________________ 5. Is your complaint about an ongoing court case? Yes No Please give name of Court and Judge ___________________________________________ Docket No. ________________________ 6. What is the general nature of your complaint? (Check more than one if appropriate.) Delay or Lack of Diligence Failing to answer letters and telephone calls Refusing to return your files, papers Conflict of interest Improper handling of your money or property Not keeping you informed of progress on your case Giving bad advice or failing to complete work properly Not following instructions Other (please specify) ____________________________ 7. Is the matter finished? Yes No (In either case, please provide supporting information on the next page.) 8. Have you tried to discuss your complaint with your attorney? Yes (In either case, please provide supporting information on the next page.) No 9. What do you hope to see happen as a result of your complaint?___________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com P.O. Box 109, Cheyenne, WY 82003 � (307) 432-2104 � Fax: (307) 632-3737 State what the attorney did or failed to do which may be unethical. State all relevant FACTS including dates, times, places and names and addresses of important witnesses. Attach copies of important letters and documents. DO NOT send original documents as they cannot be returned. INVESTIGATIVE CONFIDENTIALITY Please understand that grievance investigations are confidential until and unless there is a public discipline. You should not discuss this grievance or any information you learn during this process with anyone who is not a party to this grievance. PLEASE NOTE: A copy of this complaint and any attachments will be provided to the attorney against whom you are filing the complaint. Return this form to: Wyoming State Bar P.O. Box 109 Cheyenne, WY 82003-0109 Fax: (307) 632-3737 American LegalNet, Inc. www.FormsWorkFlow.com Dated this Signature of Complainant day of , 20 . .