Chattanooga Bar Association: Consumer Fee Dispute Complaint Form

Chattanooga Bar Assocation-Fee Dispute Arbitration Committee
Consumer Fee Dispute Complaint

Name and Address of Complainant: __________________________________________

__________________________________________

Home Phone Number: _______________________

Work Phone Number: ________________________

Date of this Complaint: _______________________

Name and Address of Attorney (Respondent) _____________________________________

_____________________________________

______________________________________

How did you learn about the CBA Fee Dispute Resolution Committee? __________________

_________________________________________________________________________

When did the services of the attorney begin? ______________________________________

When did the services of the attorney end? _______________________________________

Isthere a written agreement or a confirmation letter regarding the legal services which were tobe

performed? _____________________. If so, please provide a copy. If not, please state in detail

your understanding of the services to be performed and the terms under which the services were

to be performed (attach additional sheet if necessary): ________________________________

__________________________________________________________________________

IF YOU WANT INFORMATION OR DOCUMENTS CONSIDERED BY THE COMMITTEE, THEY MUST

BE ATTACHED TO THIS FORM.

Please describe in as much detail as you believe necessary the specific nature of your complaint

(attach additional sheet if necessary). _____________________________________________

___________________________________________________________________________

Do you have any letters, contracts or other legal documents which would assist the Fee Dispute

Resolution Committee in resolving your complaint? If so, please attach copies.

THIS WILL ASSIST THE COMMITTEE IN PROMPTLY RESOLVING YOUR COMPLAINT.

State the names, addresses and phone numbers, if any, of other people with direct knowledge of your complaint.

___________________________________________________________________________

It would be helpful to the Committee if you attached a separate sheet of paper which briefly summarizes the knowledge of those listed above.

Have you made any other complaints similar to the one described above to any court or other organizations or regulatory bodies? _____________________

If so, please state the resolution or current status of any such complaints.

______________________________________________________________________________