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MINNESOTA OFFICE OF LAWYERS PROFESSIONAL RESPONSIBILITY COMPLAINT FORM Complaints cannot be filed against a firm you must name an individual lawyer. If you have complaints regarding more than one lawyer please complete a separate form for each. Fields denoted by are required* Your Name Address and Phone Numbers Mr. Miss First Ms. Middle Last Address 1 City State Zip Code Phone Numbers Home Work Cell Lawyer s Name Address and Phone Number Office I am the check one Client Opposing Attorney Former Client Creditor Opposing Party Other If you are a client or former client give the approximate date you hired the lawyer and the nature of your legal case. If you are someone other than the client please state your connection to the lawyer. Complaint Please state what the lawyer did or failed to do that you feel is unethical* Please also attach copies of any documents that would help explain or support your complaint* If you need more pages please attach them* Are you submitting documents with this complaint No Yes Dated Signature MAIL TO Office of Lawyers Professional Responsibility 1500 Landmark Towers 345 St* Peter Street St* Paul MN 55102 651 296-3952 1-800-657-3601 Fax 651 297-5801 TTY USERS CALL MN RELAY SERVICE TOLL FREE 1-800-627-3529. If you have complaints regarding more than one lawyer please complete a separate form for each. Fields denoted by are required* Your Name Address and Phone Numbers Mr. Miss First Ms. Middle Last Address 1 City State Zip Code Phone Numbers Home Work Cell Lawyer s Name Address and Phone Number Office I am the check one Client Opposing Attorney Former Client Creditor Opposing Party Other If you are a client or former client give the approximate date you hired the lawyer and the nature of your legal case. Miss First Ms. Middle Last Address 1 City State Zip Code Phone Numbers Home Work Cell Lawyer s Name Address and Phone Number Office I am the check one Client Opposing Attorney Former Client Creditor Opposing Party Other If you are a client or former client give the approximate date you hired the lawyer and the nature of your legal case. If you are someone other than the client please state your connection to the lawyer. Complaint Please state what the lawyer did or failed to do that you feel is unethical* Please also attach copies of any documents that would help explain or support your complaint* If you need more pages please attach them* Are you submitting documents with this complaint No Yes Dated Signature MAIL TO Office of Lawyers Professional Responsibility 1500 Landmark Towers 345 St* Peter Street St* Paul MN 55102 651 296-3952 1-800-657-3601 Fax 651 297-5801 TTY USERS CALL MN RELAY SERVICE TOLL FREE 1-800-627-3529. If you have complaints regarding more than one lawyer please complete a separate form for each. Fields denoted by are required* Your Name Address and Phone Numbers Mr. Miss First Ms. Middle Last Address 1 City State Zip Code Phone Numbers Home Work Cell Lawyer s Name Address and Phone Number Office I am the check one Client Opposing Attorney Former Client Creditor Opposing Party Other If you are a client or former client give the approximate date you hired the lawyer and the nature of your legal case. If you are someone other than the client please state your connection to the lawyer. Complaint Please state what the lawyer did or failed to do that you feel is unethical* Please also attach copies of any documents that would help explain or support your complaint* If you need more pages please attach them* Are you submitting documents with this complaint No Yes Dated Signature MAIL TO Office of Lawyers Professional Responsibility 1500 Landmark Towers 345 St* Peter Street St* Paul MN 55102 651 296-3952 1-800-657-3601 Fax 651 297-5801 TTY USERS CALL MN RELAY SERVICE TOLL FREE 1-800-627-3529. .

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