Judicial Council of the Fourth Circuit
COMPLAINT OF JUDICIAL MISCONDUCT OR DISABILITY
To begin the complaint process, complete this form and prepare the brief statement of facts
described in item 4 (below). The Rules for Judicial-Conduct and Judicial-Disability Proceedings,
adopted by the Judicial Conference of the United States, contain information on what to include
in a complaint (Rule 6), where to file a complaint (Rule 7), and other important matters. The
Rules are available in federal court clerks’ offices, on individual federal courts’ Web sites,
including , and on
Your complaint (this form and the statement of facts) should be typewritten and must be legible.
Only the original is required to be filed. Enclose the complaint in an envelope marked
“COMPLAINT OF MISCONDUCT” or “COMPLAINT OF DISABILITY” and submit it to
Clerk, United States Court of Appeals, 1100 East Main Street, Suite 501, Richmond, VA 23219-
3517. Do not put the name of any judge on the envelope.
1.
Name of Complainant:
_________________________________________
Contact Address:
_________________________________________
_________________________________________
Daytime telephone:
( _____ ) ____________________________
2.
Name(s) of Judge(s):
_________________________________________
Court:
_________________________________________
3.
Does this complaint concern the behavior of the judge(s) in a particular lawsuit or
lawsuits?
[
] Yes
[
] No
If “yes,” give the following information about each lawsuit:
Court: ___________________________________________________
Case Number: _____________________________________________
Docket number of any appeals to the Fourth Circuit: ___________________
Are (were) you a party or lawyer in the lawsuit?
[
] Party
[
] Lawyer
[
] Neither
Page 1 of 2