Commission Case No. _______________________
                                   (For Commission use only)

                                                  

NEVADA COMMISSION ON JUDICIAL DISCIPLINE

VERIFIED STATEMENT OF COMPLAINT

Part I: General Information

Date of This Form: ________________________

Name of Person Completing This Form: _______________________________________________________________________________________________________

Mailing Address of Person Completing This Form: _______________________________________________________________________________________________________

Daytime Telephone Number To Contact You: (    ) _____________________________________________________________

Part II: Specific Information Regarding Complaint

Name of Nevada Judicial Officer (Only One Name Per Complaint Form): ___________________________________________

Name of Court or Judicial District Involved: ______________________________________________________________________________________________________

Case Number (Please Include All Letters and Numbers): ______________________________________________________________________________________________________

This Case Is (Select One): _ Pending In Trial Court On Appeal Not Pending or Closed

Nature of Complaint (Select One): ___ I Have Attached My Own Explanation Page(s)   ___ I Have Used The Standard Complaint Supplementary Form

Code of Judicial Conduct Section(s) Violated, If Known [(Example: Canon 3B(4)]: ____________________________________

Part III: Obligations Of Complainant

I hereby acknowledge the following agreements and/or waivers:

Consent To Investigate. I expressly authorize the Commission, staff and contractors, to investigate my complaint and take any and all actions, including interviewing any relevant witness or request by subpoena or otherwise of documentary evidence and to verify the statements I have made herein to be true and correct (or if stated to be on information and belief, that the statements are believed in good faith to be true and correct). I agree to promptly supplement and amend this complaint if I learn that the facts I have alleged are materially incorrect. I understand that deliberately misstating the truth of any material fact could subject me to various sanctions including, but not limited to, dismissal of my complaint, contempt or a separate action for perjury.

Full Cooperation. I agree to fully cooperate with the Commission, staff and its designated contractors with regard to my complaint. I understand that even if I wish to withdraw my complaint that the Commission retains independent grounds to pursue it and that the information contained within and attached to the complaint becomes the property of the Commission and the Commission may pursue the complaint even if I seek to withdraw it.

Appeal Warning. I understand that the Commission, its staff and contractors are not an appellate court and that my filing of a complaint does not stay or stop any time I am provided to appeal a decision I disagree with or any decision that adversely affects me. I understand that I must timely file an appeal to preserve those rights. I acknowledge that filing a complaint with the Commission does not and cannot preserve those rights.

Legal Advice. I understand that the Commission, its Commissioners, Commission staff, investigators and contractors are precluded from giving me legal advice regarding my case or actions I should be taking in my case and I understand that should I require advice I will seek appropriate assistance apart from the Commission, its Commissioners, Commission staff, investigators and contractors.

Part IV: Signature and Verification of Complaint

After being duly sworn, I state under penalty of perjury that I am the above-referenced complainant whose name appears in Part I and who submitted this complaint; I know the contents thereof; and the matters set forth in this complaint are true and correct of my own knowledge, except as to matters stated to be on information and belief, and as to those matters are believed to be true and correct by me. I request that the conduct set forth above or referenced in the attachments and exhibits provided with the complaint be investigated by the Nevada Commission on Judicial Discipline.

_____________________________________                                                             _____________________________
Signature of Complainant                                                                                                Dated



 

How Do I Submit My Complaint? Where Can I Obtain Additional Assistance? This complaint, along with any supporting materials you may wish to submit, should be sent by mail to the: Nevada Commission on Judicial Discipline, P.O. Box 48, Carson City, Nevada 89702. If you have questions regarding the completion of this form, please contact the Commission on Judicial Discipline at (775) 687-4017. In addition, if you have access to the Internet, or can obtain access at a local library or other Internet facility, the Commission's web site located at www.judicial.state.nv.us provides additional information to help you prepare your complaint. The web site also includes the full and current text of the Nevada Code of Judicial Conduct and other laws, statutes and rules governing the Commission.

 

 

Form NCJD 01(C)-0701

STANDARD COMPLAINT SUPPLEMENTARY FORM (STATEMENT OF FACTS)

The following is my explanation as to why the judicial officer named in this complaint has violated the Nevada Code of Judicial Conduct or suffers from a disability.

I am [select one]: [ ] one of the litigants [ ] a witness or interested party [ ] a member of the general public who witnessed or viewed this conduct (but not otherwise involved).

The judge did the following things that I believe constitute misconduct (please be as specific as possible about the event or action and attach additional pages, if required). _________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

I feel that what the judicial officer should have done is the following (for misconduct complaints only):
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

I have [select one]: [ ] appealed the judge's decision [ ] not appealed the decision

[ ] have not decided yet [ ] not applicable


Form NCJD 01(SF)-0701Attach Additional Pages As Required
(Revised 08/04/10)

 

 

Return to NCJD Contents Page        Return to Home Page