Judical Discipline and Disability Commission

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State of Arkansas
Judicial Discipline and Disability Commission
Online Complaint Form

I hereby request an investigation of

Judge's Name:		Court Name:
City:		County:

Your Full Name:

Address:

City/ST/ZIP:

Daytime Phone:

Evening Phone:

Cellular Phone:

Your eMail Address:

Statement of Facts

State below the specific details of what the judge did that you think constitutes misconduct or indicates disability.

Did you have a case before this judge? Yes No

If yes, is the case still pending? Yes No

When and where did the ethical misconduct occur?

Date:

Time:

Location:

If your complaint arose from a court case, please provide the following information:

a)	Case Name:
	Case No:

Plaintiff's Information:

Name:

Address:

City/ST/ZIP:

Daytime Phone:

Attorney’s information (Plaintiff):

Name:

Address:

City/ST/ZIP:

Phone:

Defendant's Information:

Name:

Address:

City/ST/ZIP:

Daytime Phone:

Attorney’s information (Defendant):

Name:

Address:

City/ST/ZIP:

Phone:

Additional Attorney’s Information:

Attorney 1 Name:

Address:

City/ST/ZIP:

Phone:

Represented:

Attorney 2 Name:

Address:

City/ST/ZIP:

Phone:

Represented:

What type of case gives rise to this complaint? Please check one.
	criminal	probate
	small claims	domestic (family) relations
	civil
	other (specify)

How are you interested in the case?
	plaintiff/petitioner	attorney for
	defendent/respondent	witness for
	unrelated to a case	family member of
	other (specify)

List documents you can forward to the Commission that will help support this complaint about the judge has engaged in misconduct or has a disability: This information should be mailed to the Commission with a note to include the information with an email complaint. (Please do not send originals.)

List documents that you cannot forward, but will be needed by the Commission to support your complaint that may help the Commission's investigation:

Identify, if possible, any other witnesses to the judge's conduct: (example: reporters, bailiffs,clerks, court reporters, law enforcement officers, or other attorneys, plaintiffs, defendants, or witnesses that were present at the time).

Witness 1 Name:

Address:

City/ST/ZIP:

Phone:

Witness 2 Name:

Address:

City/ST/ZIP:

Phone:

Witness 3 Name:

Address:

City/ST/ZIP:

Phone:

Note: State law provides that the judicial discipline & disability commission's proceedings on this request for investigation are confidential filing a complaint is not a substitute for appeal and has no effect on your legal or appellate rights. The appellate process is subject to strict deadlines and you should immediately obtain legal advice about your appellate remedies.

I request that the above complaint, supported by the Statement of Facts, be investigated by the Judicial Discipline & Disability Commission and that appropriate action be taken.

I hereby swear or affirm that the above information is true and correct.

Name:

Date: