Complaint Form Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *City, State, ZIP *Phone *Email *Name of the Attorney you have a complaint with *Address of the AttorneyDid/Does this Attorney represent you?YesNoIf No, name of the person represented and your relationshipDate the Attorney was hired:Has the Attorney withdrawn or dismissed?YesNoDid you pay the Attorney a fee/retainer?YesNoIf yes, how much?Did you sign a written fee agreement/contract?YesNoFor what legal matter did you consult the Attorney? *Is your legal matter currently pending in a court of law?YesNoIf yes, what court? County? Case #?Has the Attorney sued you in a court of law for collections of fees?YesNoHave you filed a complaint with any other disciplinary agency?YesNoIf yes, which one?Did you receive a response? YesNoPlease state what the Attorney did or failed to do that you believe may been improper: *CommentSubmit