What should I include in my fee dispute request form?

We need:

1. your name and full address
2. the lawyer's full name and address
3. the type of case you had (divorce, criminal, personal injury, etc.)
4. the total amount of fees charged
5. the amount of fees you feel are excessive
6. a brief explanation of why you feel the fees are excessive
7. the name and full address of any witness
8. copies of pertinent documents

We DON'T need: 

1. original documents of any kind (originals are not returned)
2. stapled documents (we scan everything you send)
3. bound documents