Client Assistance Program Request Form

First Name

Last Name

Address

City

State

Zip

County

Email*

Phone Number

I wish South Carolina Bar to consider this request for assistance with regard to the following lawyer(s):

Lawyer's Name

Lawyer's Address

Lawyer's Phone Number

Is this your own lawyer?

YesNo

Do you want us to contact the attorney on your behalf? If you answer no, we will not contact the attorney.

YesNo

Have you talked with the lawyer(s) named about the subject of this request?

YesNo

If you answered no, why not?

Write a detailed statement about why you are complaining about this lawyer. Also note what result or outcome you expect from making this complaint.

Notice: I understand that it may be necessary to act promptly to protect my rights and that commencement of a civil action may be required to preserve my rights. I acknowledge my understanding that the completion of this form does not constitute commencement of a civil action and that The South Carolina Bar will not commence any such action. I acknowledge it is my responsibility to seek and obtain any necessary legal advice with respect to this matter. I understand that the information I send may be used to assist me, but may not be confidential.

By checking this box you are certifying that all information is correct and you acknowledge the above notices.*

Agree

Enter the message as it's shown*