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					M A I LTO :                                                    D AT E :
______________________
       PASCUA YAQUI BAR ASSOCIATION
       DISCIPLINARY COMMITTEE
       7474 S. Camino de Oeste
       Tucson, Arizona 85746

Pascua Yaqui Bar Association Disciplinary Committee Chairperson.

I have a grievance against: ______________________________________________
                                (Lawyer/Advocate’s name)

City where he/she practices:_____________________________________________

My name is: _________________________________________________________
                             (Please print)

My mailing address is: _________________________________________________
                        P.O. Box       City      State     Zip

My telephone number: (home)___________________(business)_________________

Describe the nature of the matter that this complaint grows from: (e.g. divorce, damage suite,
criminal case, etc.)

__________________________________________________________________________

Is the matter still pending? ___ yes or ___no

Was he/she your lawyer/advocate or someone else? ________________________________

If yours, when did you hire him/her? _____________________________________________

Have you paid him/her anything? ________________________________________________

Date:_________________________ Amount $____________________________

Date:_________________________ Amount $____________________________

Please write in your own words a short plain statement of what you believe he/she did that was
wrong. Do not go into great detail (we will contact you later for that if necessary) and please try
to give facts only, avoiding opinions.
“If you assign this Complaint for investigation, I consent that your investigator may see
and copy my papers and obtain any information necessary to complete this investigation
from any lawyers/advocates who now or ever did represent me.”


                   _________________________________
                        Signature


DISCLAIMER:
The Pascua Yaqui Bar Association Disciplinary Committee’s jurisdiction is strictly limited. It
cannot stop or delay pending court proceedings nor prevent the running of appeal time or Statues
of Limitation. It is not allowed to provide you legal services or advice. It will, however, file
charges against any lawyer/advocate it believes may have violated the Code of Professional Re-
sponsibility.

				
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posted:4/11/2013
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