Page 22 - Rules Governing Judicial Misconduct

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APPENDIX
4. Have you filed any lawsuits against the judge? [ ] Yes [ ] No
If "yes," give the following information about each case (use the reverse side if there is more
than one):
Court:
__________________________________________________________________
Docket number:
__________________________________________________________
Present status of suit:
______________________________________________________
Name, address, and telephone number of your representative:
Representative's name:
____________________________________________________
Address:
________________________________________________________________
________________________________________________________________
Daytime telephone: ( ) _________________________________
Court to which any appeal has been taken:
_____________________________________
Docket number of the appeal:
_______________________________________________
Present status of the appeal:
________________________________________________
5. On separate sheets of paper, not larger than the paper this form is printed on, describe the
conduct or the evidence of disability that is the subject of this complaint and explain why you
believe this conduct is prejudicial to the effective and expeditious administration of the business
of the Court. See Rule 2(b) and 2(d). Do not use more than 5 pages (5 sides). Most complaints
do not require that much.
I declare under penalty of perjury pursuant to 28 U.S.C. § 1746 that –
(1) I have read Rules 1 and 2 of the Court's Rules Governing Complaints of Judicial
Misconduct or Disability, and
(2) the statements made in this complaint are true and correct to the best of my knowledge.
____________________________________
(
Signature
)
Executed on __________________________
(
Date
)