INSTRUCTIONS FOR FILLING OUT  THE COMPLAINT AGAINST ATTORNEY  FORM JD-GC-6  

JD-GC-6 Rev. 9-12 

This form is available  in other language(s).

Read these instructions before filling out and filing the form. You may also find useful  information in the pamphlet “Attorney Grievance Procedures in Connecticut,” which is available  at: http://www.jud.ct.gov/Publications/gc008.pdf 

1. Please fill out the form electronically. You can do that  online at http://www.jud.ct.gov/webforms/forms/gc006.pdf and you can save it. If you cannot fill out the form online,  then fill it out by printing in ink only. If we cannot read  your complaint, it will be returned to you. Please keep a  copy of the complaint for your records.  

2. The form must be filled out in English.  

3. An original complaint form must be filed by each  complainant (the person making the complaint against the  attorney) and against each attorney.  

4. Please attach to your complaint copies of any documents  that are important to prove your complaint. Do not file  originals of the attachments (they will not be returned to  you). Please do not highlight your attachments. Please  do not send CDs or DVDs with your complaint.  

5. Each complainant must file an original complaint and 6  copies of each complaint that is filed. This includes  attachments. Attachments must be attached to the  

original and each of the copies of the complaint. Each  complaint and set of attachments must be identical and  put in the correct order. If the documents that are filed do  not meet these requirements, they will be returned to you.  

6. Do not include personal identifying information or hospital,  psychiatric or medical records with your complaint.  “Personal Identifying Information” is defined in Section  4-7(a) of the Connecticut Practice Book:  

Personal identifying information means an individual’s  date of birth; mother’s maiden name; motor vehicle  operator’s license number; Social Security number;  other government issued identification number except  for juris, license, permit or other business related  identification numbers that are otherwise made  available to the public directly by any government  agency or entity; health insurance identification  number; or any financial account number, security  code or personal identification number (PIN).  

The use of personal identifying information and hospital,  psychiatric and medical records in grievance matters is  generally prohibited by the Statewide Grievance Committee  and Grievance Panel Rules of Procedure:  

Rule 1(F) of the Statewide Grievance Committee  Rules of Procedure

F. Grievance complaints filed with the Statewide  Grievance Committee must be submitted on form JD GC-6 and must contain an original and six copies. Any  attachments must be properly collated and attached to  the original and each copy of the complaint. Grievance  complaints and their attachments must not include  personal identifying information as defined by Section 4-7 (a) of the Connecticut Practice Book or another person’s  

hospital, psychiatric or medical records. The Complain ant must redact [black out parts of] the complaint and  its attachments to remove any personal identifying  information. A Complainant who wants to file another  person’s hospital, psychiatric or medical records must say  in the complaint how the documents are relevant and will  help prove the complaint. The proposed hospital,  psychiatric or medical records accompanying the  complaint must be submitted in a sealed envelope labeled  “proposed hospital, psychiatric or medical records.” If the  complaint is forwarded to a grievance panel for  investigation under Section 2-32(a)(1) of the Connecticut  Practice Book, the grievance panel will review the  statement and follow Rule 1(I) of the Grievance Panel  Rules of Procedure. If the Complainant is Disciplinary  Counsel, the Statewide Bar Counsel, the Statewide  Grievance Committee or a reviewing committee thereof,  or a Grievance Panel, then any records, including  hospital, psychiatric or medical records as well as records  containing personal identifying information may be  included in the initial grievance complaint without an offer  of proof. Materials that do not meet these requirements  will be returned.  

Rule 1(H) and (I) of the Grievance Panel Rules of  Procedure:  

H. Except for materials filed by Disciplinary Counsel, the  Statewide Bar Counsel, the Statewide Grievance  Committee or a reviewing committee thereof, or a  Grievance Panel, no materials sent to the Grievance  Panel investigating the complaint, including, but not  limited to the complaint and the answer shall include  personal identifying information as defined by Section 4-7  of the Connecticut Practice Book. The person filing any  materials with personal identifying information must  redact them. The Grievance Panel or its counsel may  redact materials that do not follow this rule.  

I. Except for materials filed by Disciplinary Counsel, the  Statewide Bar Counsel, the Statewide Grievance  Committee or a reviewing committee thereof, or a  Grievance Panel, no materials sent to the Grievance  Panel investigating the complaint, including the complaint  and the answer, shall include hospital, psychiatric or  medical records. If a Complainant, Respondent or  Disciplinary Counsel pursuing the matter under Section  2-32(f) of the Connecticut Practice Book want to file a  hospital, psychiatric or medical record with the Grievance  Panel, then the record(s) must be filed in a sealed  envelope, that has the case name and number and the  name of the person filing it written on the envelope. The  record(s) must be accompanied by a written statement  explaining how the material(s) is relevant and how it will  help prove the complaint or a defense to the complaint. 

Instructions page 1  

(1) The Grievance Panel and its counsel will  determine whether the written statement of the person  who filed the hospital, psychiatric or medical record(s)  establishes that the material(s) is relevant and will  help prove the complaint or a defense to the  complaint. If the written statement does not  

demonstrate why the hospital, psychiatric or medical  record(s) is relevant and how it will help prove the  complaint or a defense to the complaint, the record(s)  will be returned to the person who filed them, and no  copy will be kept as part of the Grievance Panel’s  record.  

(2) If the written statement establishes that the  hospital, psychiatric or medical record(s) is relevant  and will help prove the complaint or a defense to the  complaint, then the Grievance Panel will review the  record(s) with its counsel in private. If upon review of  the record, the Grievance Panel determines that the  record(s) is not relevant despite the written statement  of the person filing it, then the record(s) will be retuned  and no copy will be kept as part of the Grievance  Panel’s record.  

(3) If after reviewing the record(s) in accordance with  subsection (2), the Grievance Panel determines that  the that the record(s) is relevant but more harmful or  prejudicial than helpful in proving the complaint or a  

defense to the complaint, then the record(s) will be  returned to the person who filed them, and no copy of  it will be kept as part of the Grievance Panel’s record.  If the Grievance Panel decides that the record(s) is  relevant and that it is more helpful in proving the  complaint or a defense to the complaint than harmful  or prejudicial, then it will become a part of the  Grievance Panel record and Grievance Counsel will  give a copy of it to the other participants.  

Nothing in this rule prevents a Complainant, Respondent,  Disciplinary Counsel or a witness from raising an objection  to the use of any hospital, psychiatric or medical record. 

7. In answering question 2 on the complaint form, give the  name of the attorney, not a law firm who you are making  the complaint against. It will help us identify the attorney  named in your complaint if you give us the attorney’s juris  (bar identification) number. You can find an attorney’s  juris number at the Judicial Branch website at:  

 http://www.jud.ct.gov under Attorneys.  

8. In answering question 5 on the complaint form, you can  look up a civil or family matter at:  

http://civilinquiry.jud.ct.gov/. You can look up a criminal  matter at: http://www.jud.ct.gov/crim.htm.  

9. If you answer “Yes” to question 8 on the complaint form,  please attach all bills and requests for payment from the  attorney and proof of the amount you have paid. Please  be sure to attach to the complaint a copy of any fee  

agreement that you had with the attorney.  

10. Please remember to sign your complaint in blue ink.  Unsigned complaints will be returned to you. The  complaint must be signed by the Complainant or the  Complainant’s legal representative (for example:  attorneys and those with powers of attorney). If a  complaint is signed by a legal representative, please  attach proof of that representation to the complaint (for  example: a letter of representation or signed power of  attorney). Grievance Counsel do not have to provide  proof of representation when filing complaints on behalf  of Grievance Panels. If a complaint is filed by a parent or  legal guardian on behalf of a minor child, the person  named as the Complainant should be the parent or legal  guardian and the complaint should be signed by the  parent or legal guardian.  

11. Copying and filing the complaint. If you downloaded and  filled out the complaint form online, then copy the  complaint and attachments only (not the instructions) 6  times. If you filled out the complaint form by hand,  remove the complaint from the instructions along the  perforated edge, then copy all sides of the complaint and  attachments only (not the instructions) 6 times. Mail the  original complaint and 6 copies to: Statewide Bar  Counsel, Statewide Grievance Committee, 287 Main  Street, 2nd Floor, Suite 2, East Hartford, CT 06118-1885.

Instructions page 2  

COMPLAINT AGAINST ATTORNEY  (GRIEVANCE COMPLAINT)  JD-GC-6 Rev. 9-12  

P.B. § 2-32(a) 

ADA NOTICE  

The Judicial Branch of the State of Connecticut  complies with the Americans with Disabilities Act  (ADA). If you need a reasonable accommodation in  accordance with the ADA, contact a court clerk or an  

STATE OF CONNECTICUT  JUDICIAL BRANCH 

www.jud.ct.gov 

ADA contact person listed at www.jud.ct.gov/ADA. This form is available  

in other language(s).

Read the Instructions for this complaint before  filling it out. Complaints that are not filled out  correctly will be returned to you. 

After filling out this complaint, mail the original and 6 copies of it to:  

Statewide Bar Counsel  

Statewide Grievance Committee  

287 Main Street, 2nd Floor, Suite 2  

East Hartford, CT 06118-1885 

1. Complainant’s (person making complaint against attorney) Information. A separate complaint form must be  filled out for each Complainant. 

Name (First, Middle, Last) 

Mr. Mrs. Ms. (Other) 

Address 

Telephone number Email address (optional) 

2. Information about the attorney you are making a complaint against. Do not name a law firm. A separate  complaint form must be filled out for each attorney you are complaining about. 

Name (First, Middle, Last) 

Address 

Telephone number Attorney’s juris number (if known) Email address (if known) 

3. Explain how you are connected to the attorney. 

I hired/retained the attorney. Dates of representation: to 

The court appointed the attorney to represent me. Date attorney was appointed by the court: 

The court appointed the attorney to represent my children. Date attorney was appointed by the court:  The attorney represented the other side against me in a matter. 

The attorney was the prosecutor in my criminal case. 

Other. Explain: 

4. Have you ever filed a complaint against this attorney with the Statewide Grievance Committee? Yes. Give the name and grievance number of each complaint that you have filed: 

No 

5. Please give the information asked for below if your complaint is about the attorney’s conduct in a lawsuit or a  criminal case. 

Name of lawsuit or criminal case Docket number Courthouse location Your connection to the lawsuit or criminal case (for example: plaintiff, defendant, witness) 

Do Not Write in This Area — For Statewide Bar Counsel Use Only 

File Date: 

Complaint number: 

Referred to: 

Page 1 of 3 

6. Please explain the type of legal work done by the attorney in the matter that led to this complaint. Check all that  apply.  

Criminal law Family law/Divorce 

Personal injury/Wrongful death/Malpractice 

Personal real estate matter 

Business or corporate matter Estate planning/Elder law/Probate 

Workers’ compensation General civil claims 

Immigration matter 

Arbitration or mediation Other. (Explain) 

Collection matter 

7. Please explain what kind of complaint this is. Check all that apply. You must still explain your complaint in  detail in question 10. 

Neglect, diligence or competence issues Misused funds or other property 

Charged too high a fee 

Did not return records 

Fraud or misrepresentation issues Communication issues 

Improper withdrawal 

Harassment 

Did not safeguard money or property Confidentiality issues 

Conflict of interest 

Did not obey a court order 

Did not pay a judgment 

Other. (Explain) 

8. Have you paid the attorney any legal fees for the matter complained about or has any other person paid the  attorney any legal fees for the matter for you?  

Yes. Amount the attorney charged you: 

Amount paid to the attorney by you or by another person for you: 

The matter involved a contingency fee that has not been paid. 

No. 

Attach a copy of the fee agreement to this complaint. 

9. Give a list of all witnesses that have information about your complaint. Attach additional sheets if necessary. Name (First, Middle, Last) Telephone number Address 

Name (First, Middle, Last) Telephone number Address 

Name (First, Middle, Last) Telephone number Address

JD-GC-6 Rev. 9-12 Page 2 of 3 

10. Give the details of your complaint in the order that they happened. Attach additional sheets if necessary. 11. Sign and date this complaint below. Please use blue ink

Signed under penalties  of false statement, 

Signature of Complainant Date signed 

Be sure to read paragraph 11 of the Instructions before copying and filing your complaint.

JD-GC-6 Rev. 9-12 Page 3 of 3 

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