Grievance Form - Supreme Court of the Virgin Islands

OFFICE OF DISCIPLINARY COUNSEL
SUPREME COURT OF THE VIRGIN ISLANDS
161B Crown Bay
St. Thomas, VI 00804
(340) 693-4127
GRIEVANCE FORM
This form is designed to provide the Disciplinary Counsel and the Virgin Islands Bar Association Ethics
and Grievance Committee with the information required to evaluate your grievance.
PLEASE NOTE: THIS FORM MUST BE TYPED OR LEGIBLY HAND WRITTEN, DATED AND SIGNED BEFORE
IT WILL BE CONSIDERED.
I. Person Making Grievance
Mr. / Ms. / Mrs.
(Last)
(Middle)
(First)
Address
(Evening)
Phone Number(s): (Day)
II. Attorney Against Whom Grievance is Made
(Last)
(Middle)
(First)
Address
Phone Number(s)
What is your relationship with the Attorney against whom this grievance is made?
III. This Grievance alleges (Check One):
Attorney Misconduct
Attorney Disability
Please note that the Ethics and Grievance Committee only has authority to investigate allegations
of professional misconduct or disability by attorneys admitted to practice in the Virgin Islands. The
Committee does not act as an appellate court and cannot review, reverse or modify a legal
decision made by a judge in the course of a court proceeding.
IV. Basis for Grievance
Please provide in as much detail as possible the information which you believe supports your
complaint of misconduct or disability. Include names, dates, places, addresses and telephone
numbers which may assist with the investigation of this grievance.
If additional space is required, attach, number, and sign additional pages.
V. Additional Information (if available)
a. If your Grievance arises out of a court case, please answer the following questions:
1. What is the name and number of the case?
Case No.
Case name:
2. What kind of case is it?
civil
criminal
small claims
domestic relations
probate
other (specify)
traffic
3. What is your relationship to the case?
plaintiff /petitioner
defendant/ respondent
attorney for
witness for
other (specify)
b. List and attach copies of any relevant documents which you believe support your claim that the
attorney has engaged in misconduct or has a disability. (Note: Retain a copy for your records as
these documents shall become the property of the Committee and may not be returned.)
c. Identify, if you can, any other witnesses to the conduct about which you complain:
Name:
Name:
Address:
Address:
Phone Number:
Phone Number:
If additional space is required, attach, number, and sign additional pages.
VI. Affirmation.
Under penalty of perjury, I declare that I have examined and understand this Grievance form and
to the best of my knowledge and belief, the above information is true, correct and complete and
submitted of my own free will. In filing this Grievance, I understand that the Supreme Court Rules
provide that ''all proceedings relating to all grievances, including all hearings conducted by the
Committee, shall be confidential.'' V.I.S.CT.R. 207.1.1 (b). I further understand that this rule of
confidentiality attaches and becomes effective upon the filing of this Grievance and that any
violation could result in a citation for contempt by the Supreme Court.
(Date)
(Grievant's Signature)
(Note: Only signed complaints will be considered.)
Please return this form and direct all future communications to:
Office of Disciplinary Counsel
Supreme Court of the Virgin Islands
P.O. Box 590
161 B Crown Bay
St. Thomas, VI 00804
340-693-4127