report-solicitor-form-SolicitorsRegulationAuthority.docx

20/01/2015  PAGE \* MERGEFORMAT 5  HYPERLINK .uk .uk Report form This form is to help you make your report about the professional conduct or regulatory concerns about a person or firm regulated by the SRA. The information that you provide will assist us to regulate in the public interest and deal with your concerns quickly. For all other enquiries or complaints, please refer to the services listed at the end of this form. You can complete this form electronically or print it and fill it in manually. Please return this form to: Solicitors Regulation Authority The Cube 199 Wharfside Street Birmingham B1 1RN Or email it to report@.uk with any supporting documents In all cases please tick the relevant boxes. Contact details  Mr  FORMCHECKBOX
 Mrs  FORMCHECKBOX
Ms  FORMCHECKBOX
 Miss  FORMCHECKBOX
Other –  FORMTEXT
?????please specify  Your surname:  Your first name(s):  Your firm (if applicable):  Your address and postcode:  Your contact phone numbers(s):  Your email address: If you have a disability, and require any assistance or adjustment in making this report, please tell us here:  Details of your report  Name of the person you are reporting:  Name of the firm:  Firms’ address and postcode:  Firms’ phone number:  Has the person you are reporting acted for you in the past? It is important for us to know if you are complaining about someone who is or has acted for you as your solicitor. Please note that if you want to complain about the service that you received from your solicitor, you need to contact the Legal Ombudsman directly – see contact details as the end of this form. a) Has the solicitor’s firm acted for you in the past about this matter? Yes  FORMCHECKBOX
 No  FORMCHECKBOX
 b) Does the individual you’re reporting to us act for another person? Yes  FORMCHECKBOX
 No  FORMCHECKBOX
 If the answer to the above question is “Yes”, who is the solicitor acting for?  Please describe your