Rule II Application for reimbursement

A. The Committee shall prepare a form of application for reimbursement; in its discretion, the Committee may waive a requirement that a claim be filed on such form. B. The form shall require as minimum information: 1. The name and address of the lawyer. 2. The amount of the alleged loss. 3. The date or period of time during which the alleged loss was incurred. 4. The name and address of claimant. 5. The general statement of facts relative to the claim. 6. Verification by the claimant. C. The form or application shall contain the following statement in bold type: ‘‘In establishing the Clients’ Security Fund, the State Bar of Wyoming did not create, nor acknowledge, any legal responsibility for the acts of individual lawyers in the practice of law. All reimbursements of losses by the Clients’ Security Fund shall be a matter of grace in the sole discretion of the committee administering the Fund and not as a matter of right. No client or member of the public shall have any right in the Clients’ Security Fund as a third-party beneficiary or otherwise.’’ D. Applications shall be addressed to the Office of the Executive Director of the State Bar of Wyoming, and shall forthwith be transmitted by such office to the Chairman of the Committee, with a copy being simultaneously transmitted to each member of the Committee.