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COMPLAINT FORM

STATE OF WASHINGTON

COMMISSION ON JUDICIAL CONDUCT

P. O. Box 1817 0 ympia, WA 98507 ( 360) 753 -4585 Fax ( 360) 586 -2918

CONFIDENTIAL

For <Offic. Use Only

nq #;

This form is designed to provide the Commission with information required to make an initial evaluation of

your complaint, and to begin an investigation of your allegations. Please read the accompanying materialson the Commission' s function and procedures before you complete this form.

Materials filed in the Commission' s confidential records cannot be duplicated for you.

If you need to maintain a record, keep a copy. Do not send original records you wish to keep without making prior arrangements for theirloan, safe delivery and return.

PLEASE TYPE OR PRINT ALL INFORMATION

Your Name

Addrass . k A-

State: co A - Zip: ` 3

Daytime telephone: 6Z: 9) Sa5 0 evening tr.phone:(644-I — ? / < G

Name of Judge /Commissioner: 3c IrtO` O f

County: CCGCL k2—

Court level: Municipal District * Superior Appeals (

f

Supreme

Case Name and Docket Number, if applicable — l O( y 9, ' l

Attorneys involved e (A t 7 t ° iN t . Czn

If this complaint relates to a trial or other court proceeding, has it been or will it be appealed?

Yes 0_ Not applicable_

CF- I)

v

Please provide a brief summary of the unethical actions or behaviors that you believe were committedby this judge or commissioner. ( If you wish, you may refer to the Code of Judicial Conduct which youcan find in the Washington Court Rules or.on our website at wwww. ojc.state.wa. us.)

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RYe J toLce to ry amrQ / i.rwrerdo,r -evv 2 h DI ack tim

C `- ( C. zc Pk:X(3 1)071 ca Yd- ' e \roet'S

Please list the dates of alleged misconduct

SUPPORTING FACTS:

Please state specific facts to support your allegation( s) of judicial misconduct. Include all pertinentdates, and name( s) of witnesses, if known. Attach copies of any documents which may support yourposition. You may attach additional pages if needed.

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Signed: rCSk1., D Date: Qci&{ye - 1C - ao L{ eJU

0

Send completed form to: Commission on Judicial Conduct, PO Box 1817, Olympia, WA 98507

Note: Due to confidentiality requirements complaints cannot be accepted via e -mail.

If you have a disability which requires assistance in filing a complaint or you would like this form in analternate format, such as Braille, large print or audio tape, contact this office at ( 360) 753 -4585 voice or

We`will' take- reasonable- steps- to- accommodate - your - needs:] -- - - - - -- -- - - - - -- -- - - - - -- I

Revised 3/ 20/ 03

COMPLAINT FORM

STATE OF WASHINGTON

COMMISSION ON JUDICIAL CONDUCT

P. 0 Box 1817, 0 ympia, WA 98507 ( 360) 753 -4585 Fax ( 360) 586 -2918

CONFIDENTIAL

Office -Use Only

t`.' Inq

This form is designed to provide the Commission with information required to make an initial evaluation of

your complaint, and to beginan investigation of your allegations. Please read the accompanying materials' on the Commission' s function and procedures before you complete this form.

Materials filed in the Commission' s confidential records cannot be duplicated for you.

If you need to maintain a record, keep a copy. Do not send original records you wish to keep without making prior arrangements for theirloan, safe delivery and return.

PLEASE TYPE OR PRINT ALL INFORMATION

Your Name: Q

II 7

4

Address: r3

City: WaAC_ State: JO 1" C _ Zip: ( 61- Cocketrktary UYt So.

Daytime telephone ' DDS &S C ( wrrieg telephone. ?'

Name of Judge /Commissioner: ucaale. llna,

County: Cat <I l ) CCU \) V • Court level: Municipal District % Superior Appeals Supreme

Case Name and Docket Number, if applicable: I3 - 1h

Attorneys involved: U \ f \' cA.OLOS(n ,, 1 U C', C: I` Piofli\ ( 1\ AftTr- ( ITCH

If this complaint relates to a trial or other court proceeding, has it been or will it be appealed?

1 - Yes,. No No applicable

CF- I)

Please provide a brief summary of the unethical actions or behaviors that you believe were committedby this judge or commissioner. ( If you wish, you may refer to the Code of Judicial Conduct which youcan find in the Washington Court Rules or on our website at www.cic. state.wa. us.)

he T . ae l .r a C' ort ofv _ O.ke. 3 Cc ' t 0Ay 4

l; e, A+S ( M.(/ S'06Or Dane { A^ Cai- iii

30,13- Vv I (' i Mad- 'RAc c5-F' Tice hces.s nr19 ( P/0,7?-4160.

Please list the dates of alleged misconduct. M 031' r C 31 .

30f q

SUPPORTING FACTS:

Please state specific facts to support your allegation( s) of judicial misconduct. Include all pertinentdates, and name( s) of witnesses, if known. Attach copies of any documents which may support yourposition. you may attach additional pages if needed.

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Signed: Date iO VS- - 9 0111

Send completed form to: Commission on Judicial Conduct, PO Box 1817, Olympia, WA 98507

Note: Due to confidentiality requirements complaints cannot be accepted via e -mail.

If you have a disability which requires assistance in filing a complaint or you would like this form in analternate format, such as Braille, large print or audio tape, contact this office at (360) 753 -4585 voice or

TDD.- We- will-take - reasonable- steps -to- accommodate- your- needs.]--- .____._

Revised 3/ 20/ 03

L s s-en,- , 4-e____4 ;{ J

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FILEDCOURT O APE_

DIVISION II

2014 OCT 20 FM 1. 16

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