Lawyer Inquiry Form
NOTE: Submit this form if you have concerns about a lawyer's conduct. Your inquiry might result in discipline to the lawyer. If you are seeking other remedies against the lawyer, you may need to seek legal advice from a lawyer in private practice. Also, the bar may require your further involvement in an investigation of your inquiry by asking you to be interviewed by a bar investigator and/or to participate at a hearing.
 
Fields denoted by * are required.
Your Name:
* First:
 Middle:
 * Last:
  
Your Address:
* Street:
 
* City:
 * State:
 Zip Code:
  
Email address:
Daytime Telephone No.:
  Number:  
(Home)  
(Work)  
Other Telephone No. (and times you can be reached):
  Number: Times:  
   
   
Lawyer's Name:
* First:
 Middle:
 * Last:
  
Lawyer's Address:
Firm Name, if known:
 Phone Number:
  
Street:
  
* City:
 * State:
 Zip Code:
  
Lawyer's Actions Inquired of (limited to 5000 characters):
List the Names, Addresses and Phone Numbers of persons
who might be able to give additional information about your inquiry:
Name: Address: Phone Number:  
 
 
 
 
Please answer the following questions:
* 1. Have you or a member of your family contacted us about this lawyer before?  
If yes, please state when you made the inquiry and the outcome of that inquiry:
 
* 2. Have you filed a inquiry or legal action about this matter anywhere else?
If yes, state where and the outcome:
 
* 3. Did you hire this lawyer?
If yes, give the approximate date you employed him/her, the nature of your
legal case, and estimate how much money, if any, you paid him/her:
 
* 4. If you did not hire the lawyer, what is your connection with the lawyer?
 
* 5. Is your concern only that you think the lawyer charged you too much?
If yes, you should contact the Virginia State Bar at (804) 775-0500 and ask for
information on fee dispute resolution.
Electronic Signature:
By checking this box I certify that all information on this form is true and correct. I also agree that the checkbox and my name typed below are to be used as my electronic signature.
*
 
* Signature:
 * Date (mm/dd/yyyy):
  
 
 
Additional information and documents must be mailed to:
Virginia State Bar
Intake Office
707 East Main Street, Suite 1500
Richmond, VA 23219-2800