Intake Form Intake Form Concerns with a lawyer are sent directly to the Society's Professional Responsibility Department Your First Name* Your Last Name Your Email Address Your Phone NumberYour Civic Address Lawyer’s DetailsLawyer’s First Name Lawyer’s Last Name Lawyer’s Firm Relationship to Lawyer Client Lawyer is representing another party in my case (e.g. lawyer represents my ex in a family law matter, lawyer is representing someone who is suing me) Colleague Encountered lawyer outside of a professional context Other Is your legal matter ongoing?* Yes No Relationship Other DetailsConcern Details*Please provide full details of your concern (e.g. what happened that caused your concern about this lawyer’s behaviour and/or actions?)How would you like the Society to help with your concern?