Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Resolution Of Fee Dispute Form. This is a Wyoming form and can be use in State Bar Statewide.
Tags: Petition For Resolution Of Fee Dispute, Wyoming Statewide, State Bar
Petition for
Resolution of Fee Dispute
Docket # ______
For Office Use Only
Person filing this petition:
Attorney you are filing this petition against:
Name _______________________________________________
Name _______________________________________________
Address _____________________________________________
Address _____________________________________________
City/State/Zip _________________________________________
City/State/Zip _________________________________________
Daytime Phone ________________________________________
Daytime Phone ________________________________________
Date of Final Billing:
Amount of Dispute: $ ____________________________
____________________________
According to the Wyoming Supreme Court’s rules governing fee disputes, a “final billing” (1) The first bill submitted by the attorney to a client after the case is closed and after
the work to complete the cast has been performed for which the attorney was originally hired; or (2) The first bill submitted by the attorney to a client following termination of
the attorney-client relationship by either the attorney or the client; or (3) A statement which purports to support a distribution of money or value exchanged arising from a
contingency fee case. Please provide the date of that billing and a copy of the last bill you received. If the case was a contingent fee case, please provide the date of the
“statement of distribution” your attorney is required to provide you. A petition may be dismissed if filed 120 days or more after final billing.
Is there any other person who may be directly affected by the outcome of this petition?
Yes
If yes, please provide the following information:
No
Name _______________________________________________
City/State/Zip _________________________________________
Address _____________________________________________
Daytime Phone ________________________________________
Please use the space provided below to explain clearly and briefly the facts which have led you to file this petition. If you are objecting to a
specific portion of your attorney’s bill, indicate which portion and state the basis of your objection(s). It is important that you attach copies of
billing statements. Please attach copies of billing statements and any other material you feel is relevant. If you need additional space, please
continue on the back of this page.
I HEREBY AFFIRM that the forgoing recitation of facts is true to the best of my knowledge. I further acknowledge that by filing this petition for
resolution of fee dispute, I have elected to proceed under the Wyoming Supreme Court rules regarding resolution of fee disputes. I understand
that the determination of the hearing panel appointed pursuant to these rules is binding. I HEREBY ENCLOSE A $25.00 ADMINISTRATIVE FEE
made payable to the WYOMING STATE BAR.
Dated this
day of
, 20
.
Signature of Complainant
P.O. Box 109, Cheyenne, WY 82003
Return this form to:
Wyoming State Bar
P.O. Box 109
Cheyenne, WY 82003-0109
.
•
(307) 632-9061
•
Fax: (307) 632-3737
American LegalNet, Inc.
www.FormsWorkflow.com