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COMMONWEALTH OF MASSACHUSETTS
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COMPLAINT FORM
CJC Complaint No. ________________
This form is designed to provide the Commission with the information to screen your complaint and to begin an investigation of your allegations. Please read the accompanying materials on the Commission’s function and procedures before filling out this form. ONLY ONE JUDGE MAY BE COMPLAINED OF ON EACH FORM.
PLEASE TYPE OR PRINT CLEARLY ALL INFORMATION
Your name _________________________________________________________________
Address ___________________________________________________________________
___________________________________________________ Zip Code ______________
Daytime telephone ___________________________________________________________
Name of judge ______________________________________________________________
Court ______________________________________________________________________
Case name _________________________________________________________________
Docket number ______________________________________________________________
Attorneys involved ___________________________________________________________
Date(s) of misconduct ________________________________________________________
Has an appeal been filed? ______________________________________________________
A summary of the general nature of your complaint: _________________________________
___________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________Specific Facts:
Please describe exactly what the judge did that was misconduct, and on what date(s). YOUR COMPLAINT WILL BE SCREENED ON THE BASIS OF THIS FORM ONLY. DO NOT RELY UPON ATTACHMENTS TO MAKE YOUR ALLEGATIONS. (You may attach copies of any documents which support your allegations, for the purposes of the investigation.)
I understand that this complaint and any other communication to or from the Commission on Judicial Conduct remain confidential to the extent required by MGL chapter 211C, section 6, and Commission Rule 5.
Signed __________________________________
Date __________________________________ Please mail completed form to :
Commission on Judicial Conduct
11 Beacon Street, Suite 525
Boston, MA 02108-3006