Complaint Cover Sheet - Office Of Disciplinary Counsel - State Of Montana
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1OFFICE OF DISCIPLINARY COUNSEL
FOR THE STATE OF MONTANA
P.O. Box 1099
Helena, Montana 59624-1099
(406) 442-1648
* PLEASE NOTE ODC’S FORMS AND INFORMATION ARE NOW AVAILABLE ONLINE AT
COMPLAINT COVER SHEET
(Please read attached information before completing.)
_______________________
Date
____________________________________________________________________
Your Name
Please Print Legibly
________________________________________________________________
Mailing Address
Street or Box No.
City
State
Zip
________________
________________
____
Home Phone
Work Phone
May we call you at work?
________________________________________________________________
Attorney’s Name
Name of attorney this complaint is directed against
________________________________________________________________
Mailing Address
Street or Box No.
City
State
Zip
_________________________________________________________
Date you Hired Attorney
____________________
________________
Amount Initially Paid Attorney
Total Amount Paid
Do You Presently Owe the Attorney Any Fees? ____________________________________________
Do You Have a Written Fee Agreement? Y / N
If Yes, Please Send Us a COPY.
__________________________________
Type of Legal Problem Attorney was Hired to Handle?
______________________________________________________________________________
_______________________________________________
Is This Matter Still Pending in Court?
If Yes, Provide the Names of the Other Parties Involved and the Court File Number if You Have
________________________________________________________________
this Information:
______________________________________________________________________________
Have You Previously Filed a Discipline Action Against an Attorney? Y / N
If Yes, Please Provide the Details on a Separate Sheet of Paper.
1.
Attach a separate sheet of paper with a detailed explanation of the reasons you are filing a
complaint against the attorney. Please print legibly.
2.
Include as much factual data as possible (i.e. dates, names, phone numbers, amounts of
money involved, witnesses, etc.). Please put the information in chronological order.
3.
If you have any documents that will help to explain your complaint, please attach copies (do
not attach original documents).
4.
Keep the following questions and answers for future reference.
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