Complaint Form for Improper Conduct of an Office of Administrative Hearings Administrative Law Judge (ALJ) Use this form to report concerns about an ALJ. This form is not for appealing or requesting review of an ALJ’s decision or ruling. Filing a complaint will not change the outcome of the case. If you want the decision changed, you must file an appeal. Please refer to the decision for instructions about filing an appeal. We will send you a letter confirming we received your complaint within ten (10) days. We will conduct an investigation, and you will receive a written response to your complaint within thirty (30) days. However, if your case is still ongoing at the time you file the complaint, you will receive a written response to your complaint within thirty (30) days after the ALJ issues the decision. [WAC 10-16-010] Name of Person Making this Complaint First Name Last Name Address Street Address Apt., Unit, or Suite # City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Phone Phone Number Email Case Name(s) Usually this is the name of the person who requested a hearing. Docket Number(s) This can be found on your hearing paperwork. Complaint Information: Name of ALJ First Name Last Name Date of Incident Date of Incident: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of Incident: Day Day12345678910111213141516171819202122232425262728293031 Date of Incident: Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Names of Individuals Present During the Incident (if known) What did the judge do or say that was improper? If there's anything else that would help our investigation, please include it here. If you have a disability and require accommodations to file an ALJ complaint, please contact OAH at (360) 407-2700 / toll free 1-800-583-8271 or email us at OAH_ADACoordinator@oah.wa.gov By checking this box, I attest the above information is true and correct to the best of my knowledge. Submit Leave this field blank
