Attorney Fee Arbitration Complaint Form

* Indicates a required field

Name of Client:

Client's Address:

Client's Email Address:

Name of Attorney:

Attorney's Address:

Attorney's Email Address:

I, (Client), hereby complain that the above attorney has improperly charged me for legal services rendered in that:

Explain below the basis for the complaint including the nature of the dispute, the relief sought, and dollar amount involved.:

Additional pages may be attached if necessary. You are encouraged to attach all pertinent correspondence, billing materials, affidavits, or other documentation related to this dispute to this Complaint.:

Accepted Formats: Excel Documents, Graphic Files, Images, PDFs, PowerPoint Documents, Text Files, Word Documents, Zip Archives

IN FILING THIS COMPLAINT, THE UNDERSIGNED CLIENT HEREBY WAIVES THE ATTORNEY-CLIENT PRIVILEGE BETWEEN CLIENT AND THE ABOVE-NAMED ATTORNEY.

Date:

Signature of Client:

Print your name.

Draw your signature.

Clear Signature

Polk County
Bar Association

Attorney Fee Arbitration Complaint Form

Find Us

Contact Us

Navigation

Quick Links