The Complaint essay

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TO:

THE GRIEVANCE COMMITTEE

OFFICE USE ONLY

 

THE NORTH CAROLINA STATE BAR

FILE NUMBER

 

PO BOX 25908

RALEIGH, NC 27611

TELEPHONE: (919) 828-4620

 

I, the undersigned hereby complain against (Name of Attorney)                                                                                                                              (Address)                                                                                                      (City)                                                             NC (Zip)                                  a practicing attorney of                                                                         County.  I agree to cooperate by furnishing to the representatives of the North Carolina State Bar all pertinent information and records in  my possession concerning the alleged misconduct of said attorney. I further agree that if a hearing or inquiry is ordered concerning the alleged misconduct of said attorney, then I will furnish evidence concerning the facts by submitting to deposition or personal attendance at the hearing or inquiry.  I hereby indicate that this information is provided and transmitted by me to the North Carolina State Bar for the purpose of investigating the alleged misconduct of the above- named attorney.  I understand that I may also need to reveal this information to a privately-retained attorney to pursue private remedies on my behalf.   I further understand that the immunity granted by North Carolina General Statute 84-28.2 applies only to those statements made without malice and intended for transmittal only to the North Carolina State Bar. 

I also understand that the North Carolina State Bar may reveal this information to the accused attorney for his response to a formal inquiry and to others pursuant only to the Rules and Regulations of the North Carolina State Bar. 

Name of Complainant

Mr.,  Mrs.,  or  Ms.                                                                                                

(Please circle correct TITLE and TYPE or PRINT legibly) 

Signature of complainant

Address                                                                                                                     

THIS AFFIDAVIT SHOULD BE NOTARIZED 

City                                                                     State              

Zip                      

Sworn and subscribed before me this the                       

Home Telephone (          )

day of                                                            , 20                 

Work Telephone (          )

(Notary Public)

My commission expires                                                      

DESCRIPTION OF YOUR COMPLAINT 

NOTE:  In the space below, tell us what your complaint is about.  Be sure to include all facts that you want the State Bar to consider, including names, dates, and places.  Use additional sheets if necessary.  Attach copies (not originals) of any papers that support your complaint. 

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