New York State Commission on Judicial Conduct

Complaint Form -- Confidential

If you would like to fill in this form online please click here, to use this form, you need a "pdf" program such as Adobe Acrobat Reader, which is available as a free download from the Adobe website: http://www.adobe.com. Alternatively you can print this webpage, complete it, and mail it to the Commission office nearest you:

 

61 Broadway, Suite 1200 ♦ New York, NY 10006
Corning Tower, Suite 2301 ♦ Empire State Plaza ♦ Albany, New York 12223
400 Andrews Street, Suite 700 ♦ Rochester, NY 14604

A complaint to the Commission must be in writing and signed.  (See New York Judiciary Law Section 44.1.)  A complaint does not have to be sworn or notarized.  You may submit a complaint by letter or by using this complaint form. If you submit a letter, please include the information requested by this form. Please note that all complaints received by the Commission are scanned and electronic copies are provided to each Commission member; therefore, it is unnecessary to provide more than one copy of any material.

Background Information

*Note: Please do not submit original documents. Copies only please.

Today's Date:    _________________________

Your Full Name:       (Mr. Ms.)__________________________________________________

Address:    __________________________________________________________________

City:      ________________________ State: ______________ Zip Code: ________________

Home Phone:       _____________________         Business Phone:    ____________________

Are you represented by a lawyer?          _____ Yes    _____ No

Lawyer's Name:    ____________________________________________________________

        Address:       ____________________________________________________________

                            ____________________________________________________________

        Telephone:     _____________________________________________________________

 

Complaint Information

Judge's Name:         ____________________________________________________________

Judge's Court:         ____________________________  County:   _______________________

Date(s) of Incident(s):        _______________________________________________________

Name of Case (if applicable): ______________________________________________________

Index Number of Case (if applicable): _______________________________________________

 

Details of Complaint

In the space below, please describe the alleged misconduct.  Include as much detailed information as possible, such as what happened, where and when; the names of witnesses; who said what to whom, and in what tone of voice; etc.  Use additional sheets if necessary.

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Complainant's Signature (Required):      _______________________________________