KANSAS LAWYERS' FUND FOR CLIENT PROTECTION Kansas ...

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5. Do you have a written agreement with the lawyer or others regarding the work that was to be d one? A written agreement, for example, could be a fee agreement, an engagement letter, or a settlement agreement. Yes _____ No _____ (Please attach a copy of any written agreement to this claim.) 6. Did the lawyer do any part of what you hired him or her to do? Yes _____ No _____ Explain: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 7. Describe the lawyer’s d ishonest conduct relating to this claim, with the earliest event first: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4 Rev. 11/ 03
8. Please explain the form of your loss (money, securities, or other property, etc.): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 9. State the total amount or value of the loss: $______________________ 10. Date the loss occurred: _______________, 20_____ Date that you discovered the loss: _______________, 20_____ 11. Explain how you discovered the loss: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 5 Rev. 11/ 03
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Page 7 and 8: 14. To whom has this loss been repo
Page 9 and 10: 21. How did you learn about the Law

KANSAS LAWYERS' FUND FOR CLIENT PROTECTION Kansas ...

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