Rule 46 - Applications for Reimbursement(a) The Board shall prepare a form of application for reimbursement; in its discretion the Board may waive the requirement that a claim be filed on such form. (b) The form shall be executed under penalty of perjury and 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 date upon which the alleged loss was discovered. (5) Name and address of the applicant. (6) The general statement of facts relative to the application. (7) A statement that the applicant has read these rules and agrees to be bound by them. (8) A statement that the loss was not covered by any insurance, indemnity or bond, or if so covered, the name and address of the insurance or bonding company, if known, and the extent of such coverage and the amount of payment, if any made. (c) The form or application shall contain the following statement in bold type: "THE ALASKA BAR ASSOCIATION HAS NO LEGAL RESPONSIBILITY FOR THE ACTS OF INDIVIDUAL LAWYERS. PAYMENTS FROM THE LAWYERS' FUND FOR CLIENT PROTECTION SHALL BE MADE IN THE SOLE DISCRETION OF THE ALASKA BAR ASSOCIATION."
(d) The form shall include in its body the pro tanto assignment from the applicant to the Alaska Bar Association of the applicant's right against the named lawyer, or the lawyer's personal representative, estate or assigns, as required by Alaska Bar Rule 55. Added by SCO 214 effective 1/1/1976; amended by SCO 466 effective 6/1/1981; by SCO 1029 effective 7/15/1990; and by SCO 1153 effective 7/15/1994