Grievance Form (Judge Or Magistrate) printable pdf download

Grievance Form (Judge Or Magistrate)

Ohio State Bar Association

Certified Grievance Committee

GRIEVANCE FORM

(Judge or Magistrate)

YOUR NAME:

Last

First

Phone No.

ADDRESS:

________________________________________________________________________________

Street

City

County

State

Zip Code

JUDGE'S or MAGISTRATE’S

NAME:

Last

First

Phone No.

ADDRESS: _____________________________________________________________________

________________________________________________________________________________

City

County

State

Zip Code

GRIEVANCE FILED WITH OTHER AGENCIES:

Have you filed a grievance with any other agency or bar association about this same matter?

________ Yes

________ No

If yes, name of that agency:

Action taken by that agency:

Approximate date of action taken:

COURT ACTION:

Does this grievance involve a case that is currently pending before the judge or magistrate?

________ Yes

________ No

WITNESSES:

List below the name, address and daytime telephone number of persons who can support

your grievance and who have information about the facts.

Name

Address

Phone No. (daytime)

On the reverse side, explain the facts of your grievance in chronological order, including dates. Also, describe

what you think is illegal or unethical conduct by this judge. (Attach additional sheets, if you wish.) Attach

COPIES of any correspondence and documents that support your grievance. Do not send us original

papers!

(over)

Grievance Form (Judge Or Magistrate)

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