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Member Information
(555) 123-4567
(555) 123-4567
(555) 123-4567
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Bar Information
State Eligible to Practice
Please state if your license to practice law in any jurisdiction has ever been suspended or revoked
Nature of Practice
Number of Years in Securities/Commodities:

All applicants must complete questions 1 through 3

1. Percentage of my practice devoted to securities industry/customer disputes: %
2. Percentage of my work in securities industry/customer disputes representing investors: %
3. Percentage of my work in securities industry/customer disputes representing parties against investors: %

Additionally, please complete questions 4 through 6 if you are NOT a solo practitioner.

4. Percentage of my law firm's work devoted to securities industry/customer disputes: %
5. Percentage of my law firm's work in securities industry/customer disputes representing investors: %
6. Percentage of my law firm's work in securities industry/customer disputes representing parties against investors: %

* Customer is defined as a "public investor"
(1) If the correct entry on line 1 is "zero", please enter your figures from last year's affirmation on lines 2 and 3.
(2) If the correct entry on line 4 is "zero" and you have not changed law firms, please enter your figures from last year's affirmation on lines 5 and 6.
(3) Lines 2 and 3 must equal 100%; Lines 5 and 6 must equal 100% (both are exclusive of intra-industry disputes).

* As to your defense practice in the securities/commodities fields, please list all such cases in the last two years. Describe the kind of case (customer or industry) and the party you represented.

Securities Licenses and Arbitration Forum Affiliations
Questions Not_Applicable Public Non-Public Chair