1-888-675-6564                                                                                                                                                                                          www.dirtylawyer.com

Complaints Form

1. Information about you

Your Name:

Address:

Telephone:

Email:

Home:

Work:

2. Information about the Lawyer

Lawyer’s Full Name:

Law firm address and/or telephone number

Did the lawyer represent you?

Yes

No

If YES, when did you retain/hire the lawyer?

If NO, whom did the lawyer represent?

3. General information about your complaint

Is the matter finished?

Yes

What type of legal work is involved? (check more than one if necessary)

No

Real Estate

Criminal

Immigration

Family Law/Divorce

Wills and Estates

Civil

Comments:

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