“I understand that by requesting assistance, the attorney in question and the Consumer Assistance lawyer may disclose and share with each other confidential and privileged information. I authorize release of all claims I may have against my attorney and the Consumer Assistance lawyer relating to disclosure.”

“I understand it may be necessary to act promptly to protect my rights, and commencement of a civil action may be required to preserve my rights. I understand that completing this form does not constitute commencement of a civil action, such as a malpractice action, and that the Utah State Bar will not commence any such action. I acknowledge it is my responsibility to seek and obtain any necessary legal advice with respect to this matter.”