Form A: 

Request For Hearing By State Bar Panel

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Client 

                                                                            
Attorney

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REQUEST FOR HEARING
BY STATE BAR PANEL

I, _____________________________, as the [ ] client [ ] attorney, declare that I am a party to a Mandatory Fee Arbitration pending before the Beverly Hills Bar Association. I do not believe that I can obtain a fair and impartial hearing under the Rules of that Association.
I HEREBY AFFIRM that I will contact the State Bar of California, within 10 days from the date of this request, at:

Mandatory Fee Arbitration Program
State Bar of California
180 Howard Street, 6th Floor
San Francisco, CA 94105
(415) 538-2023

to request that this matter be transferred to a State Bar panel.

I declare, under penalty of perjury, that this Request was personally served upon the other party or was deposited in the U.S. Mail, postage prepaid, this ____ day of _______________, 200__ to such party's address of record as follows:
_______________________________________________

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_______________________________________________
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Signed
 

cc: Beverly Hills Bar Association 
300 S. Beverly Drive, #201
Beverly Hills, CA 90212

BHBA Form A
Revised April 2002

 

 

Download Form A in PDF Format