Your Name (required)
Mailing Address (required)
City, State, Zip (required)
Date of Birth (required)
Your Phones
Day:
Evening:
Email Address
Judge's Name (required)
Court Number
City and County
Were you representing yourself?
Pro seRepresented by counsel
Your Attorney:
Name:
Address:
Phone:
Email:
Opposing Attorney:
Previous Attorneys
If your complaint involves a court case:
Name of Court:
Case Number:
Title of Suit:
Connection to Suit:
Witnesses:
Name(s) and Contact Information:
What did they witness?:
Details of Complaint (required):
Date(s) of Alleged Misconduct (required):
Do you request confidentiality?
YesNo
Upload Supporting Documentation (max 25 pages, 10MB)
Affidavit:
I swear or affirm that the information provided in this complaint is true and correct.
Notary Information:
Signature:
Date:
Unsworn Declaration:
My Name:
My Address:
Executed in (County, State):
