Charge Against a Lawyer

This form is used to report a problem you may be having with a lawyer. Please read all of the information via the links below before filing a charge with the State Bar.

Information About Disputes With Lawyers
Client Rights and Responsibilities
How the Lawyer Discipline Process Works

If you have not already done so, please call 602.340.7280, to talk to someone with the State Bar of Arizona Intake Department, prior to completing this form.

Yes, I have spoken with someone in the State Bar Intake Department and I have read the materials indicated via the links above.

Name and Address of Consumer     (* = required)
* First Name
* Last Name
* Address
* City
* State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------- Puerto Rico Virgin Islands Other
* Zip Code
Phone Number
Email Address
Name and Address of Lawyer and/or Firm
	Look Up Lawyer Name and Address
First Name
Last Name
Firm Name
Address
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------- Puerto Rico Virgin Islands Other
Zip Code
Phone Number

1.	Did or does this lawyer represent you?
	Yes   No
	Provide the approximate dates the lawyer represented you, and the amount, if any, paid to the lawyer.
	How did you come into contact with this lawyer?
2.	Do you currently have a lawyer other than the one named in this charge?
	Yes   No
	Provide your lawyer’s name and address.
	Look Up Lawyer Name and Address    First Name Last Name Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------- Puerto Rico Virgin Islands Other Zip Code Phone Number
3.	Is your charge about conduct in a lawsuit?
	Yes   No
	What is the case number of the lawsuit?
	What is the title of the lawsuit?
	Name of court the lawsuit is filed in: (for example: Superior or Municipal Court, and name of county or city)
	Approximate date the lawsuit was filed:
	What is your connection to the lawsuit? (for example, plaintiff or defendant)
4.	Is the lawyer in possesion of money or other property (for example, your original documents or client file) that you believe should be returned to you?
	Yes   No
	Please identify the money or property and include any written fee agreement:
5.	What type of legal work was/is involved? (Check all that apply)
	Collections  Family Law/Divorce  Criminal Law/Traffic Offenses  Personal Injury  Immigration  Worker’s Compensation  General Civil  Other
6.	What is the general nature of your charge against the lawyer? (Check all that apply)
	Delay or lack of diligence  Failing to answer letters or phone calls  Refusing to return your files or papers  Conflict of interest  Improper handling of your money or property  Not keeping you informed of progress on your case  Not following instructions  Other
7.	State your charge in your own words. Please follow the instructions contained in “Information about Filing a Charge Against a Lawyer”. Include all important dates, times, places, and details so that the specific nature of your charge can be understood. Use as much space as necessary. It is not necessary to be brief.
	Email additional documentation to lawyerinfo@staff.azbar.org
I understand that most written charges against lawyers eventually become a public record. I understand that all information on this form, including my name and address, will be available for review by the lawyer and others who may view the file. This charge form and other submissions by me will be sent to the lawyer.
Date Submitted:  August 19, 2018
Signature:   (Please type your full name. It must match the name above.)