Contact Information of Person making Complaint Name * Street Address * City * State/Province * ZIP/Postal Code * Telephone Number E-mail Address ISBA Membership # Explain the Complaint Name of person/entity engaged in UPL Contact information of person/entity engaging in UPL Please explain your complaint(s). Include important dates and names of witnesses and others involved. How did you learn of this person? Advertisement, if so, where? Social Media? Website? Word of mouth? Did you employ the lawyer/person you are complaining about Yes No If yes When did the employment start What was the fee agreement How much have you paid the lawyer/person to date If you answered no, what is your connection to the lawyer/person? If your request relates to a court case, please provide the following Name of court (for example: Circuit Court of Cook County) Name of case Case number Did the person complained about prepare legal documents for you? Yes No If you have documents that support your complaint, please email them to email@example.com or fax to 217-525-9063 or mail to: ISBA-UPL 424 S. Second St. Springfield, IL 62701.