Fee Complaint Form - The Chicago Bar Association (Page 2 of 2) in pdf

Fee Complaint Form - The Chicago Bar Association Page 2

Yes _____

No _____

If No, what is your connection to the lawyer? _____________________________

(d)

4. Did you find this lawyer through the Chicago Bar Association Lawyer Referral

Service?

Yes_____

No ____

5. If your complaint relates to a case that has been filed in court, please give the following:

Name of court (for example: Circuit Court of Cook County):

_____________________________________________________________________

Name of case: _________________________________________________________

Case number: _________________________________________________________

Type of case: _________________________________________________________

Outcome of case: ______________________________________________________

6. Have you also filed a Request for Investigation with the Attorney Registration and

Disciplinary Commission (ARDC)?

Yes_____

No ______

If yes, has the ARDC completed its investigation? Yes_____

No ______

Were you referred to the Chicago Bar Association Committee on Professional Fees

by the ARDC?

Yes_____

No ______

7. Please attach a written narrative describing the fee dispute you have with this attorney.

Include a detailed account of all interactions you have had with this attorney and any

important dates as well as any names, addresses and telephone numbers of witnesses

and other people involved. Do not include opinions or arguments.

8. Please attach copies of relevant documents, including, but not limited to, fee

agreements, bills, receipts, copies of checks, court documents, ARDC results, and

written communications between yourself and the attorney.

9. Amount Paid to lawyer: __________________

10. Amount you want refunded to you: __________________

Date: ____________________ Signature: ___________________________________________

Fee Complaint Form - The Chicago Bar Association Page 2