COMPLAINT AGAINST EDSPA MEMBER

Name and Address of Complainant:

Name and Address of EDSPA Member

On what date did the alleged violation occur? ___________________

What was your relationship with the member? _____ ___________

COMPLAINT INSTRUCTIONS:

1. If you have a complaint against more than one EDSPA member, use a SEPARATE complaint form for each person or entity, with the details and relevant exhibits attached to each separate complaint. If you are filing more than one complaint, do not combine your complaint details or your exhibits into one document, or make a specific comment about a complaint filed against another attorney, or it will be returned to you. We will not accept complaints against law firms.

2. Send your complaint with an original notarized signature. We will not accept a copy of your signature.

3. State specifically, on each individual complaint, what the member did or failed to do which you believe constitutes unethical conduct, and when it occurred.

4. Attach COPIES of any receipts, contracts, or other documents which are important to the complaint, to the back of each individual complaint. Keep your own original documents.

5. Please, do not bind your complaint. Type or write your complaint legibly in ink so it can be copied.

6. You may add more pages to this form if necessary.

7. If you believe that drugs, alcohol or mental disability affected the member's actions, please state what facts support your belief.

8. This matter is confidential at this stage of the proceedings, until the Board has acted.

9. EDSPA does not represent you in this matter but is merely acting to investigate complaints.

10. If there is a pre-existing Court Case addressing these issue, please provide the Complaint, the Answer and the name and addresses of the attorneys involved.

DETAILS OF YOUR COMPLAINT

Explain your complaint in your own words. Include the following: all important dates, times, places, and court file numbers. Please be advised we cannot return documents submitted to this office. You should retain a copy of all materials you submit. Do not send cassette tapes unless requested by the Board to do so. EDSPA cannot be held responsible for lost, misdirected or damaged documents.

The member you are filing the complaint against will receive a copy of your complaint, and may be asked to respond to your allegations.



I hereby certify that the information I am providing is true and accurate to the best of my knowledge and that I will voluntarily appear and testify to the facts in the complaint if called upon by the Alabama State Bar.

________________________________________
Name (signature)

Date: __________________________________

Sworn to and subscribed before me this _______ day of _________________________________, __________ .

[SEAL] ________________________________________
NOTARY PUBLIC
MY COMMISSION EXPIRES:
_______________________________