Fill and Sign the Montana Judicial Standards Commission Form

Judicial Standards Commission State of Montana COMPLAINT The undersigned being first duly sworn, upon oath, states the following facts showing misconduct on the part of the following named judge, to-wit: NAME OF JUDGE: _______________________________________ ADDRESS: _______________________________________ _______________________________________ Based on the attached Canons of Ethics, please cite which Canon(s) you feel the judge has violated and why. If you cannot clearly identify which canon the judge has violated, then your complaint is not within the purview of this Commission to review. The facts of the above Judge's misconduct or unethical conduct are as follows: (Please state in your own words the misconduct or unethical conduct with information as to when and where the misconduct occurred, and names of other people involved.) (If more space is needed, you may attach additional sheets to this complaint and mark them a, b, c, etc.) The names and addresses of other persons who are witnesses to or have information as to the misconduct of the above judge are: NAME: NAME: ADDRESS: ADDRESS: HONE NO: PHONE NO: (Names of additional witnesses may be listed on a separate sheet and attached.) I (have_____/ have not_____) contacted the judge in regard to my complaint. I will furnish additional information to your Commission if requested. If the complaint is investigated, I will cooperate with your Commission and furnish the evidence I have and will testify at any hearing on this complaint. My full name, address and telephone number is: NAME: ______________________________ ADDRESS: ______________________________ ______________________________ PHONE #: ______________________________ DATED this ________day of ________________________, 200___. ___________________________________ SIGNATURE SUBSCRIBED AND SWORN TO before me this _____ day of _______, 200__. ___________________________________ Notary Public for the State of Montana (SEAL) Residing at _________________________ My Commission expires_______________ RETURN TO: SHAUNA RYAN, EXECUTIVE SECRETARY JUDICIAL STANDARDS COMMISSION PO BOX 203002 215 N. SANDERS, ROOM 315 HELENA, MT 59620-3002 05/26/04