Ethics Complaint Form

LIBOR Ethics Complaint Form

COMPLAINANT(S)
REALTOR® or Public

Name(s)*

Please separate by comma.

Firm Name, if any

Address

Phone*

Email*

RESPONDENT(S)
Must be a LIBOR Member

Name(s)*

Please separate by comma.

Firm Name*

Address

Phone

* Fields are Required

Section One: COMPLAINANT

The Complainant alleges that the following Article(s) of the Code of Ethics has been violated:

Please list all Standards of Practice as applicable:

Section Two: STATEMENT OF TRUTH

This Complaint is true and correct to the best knowledge and belief of the undersigned. Complainant(s) hereby asserts that the Complaint is filed within one hundred eighty (180) days after the facts constituting the matter complained of could have been known in the exercise of reasonable diligence or within one hundred eighty (180) days after the conclusion of the transaction or event, whichever is later.

DATE OF INCIDENT*

Section Three: WRITTEN STATEMENT & EVIDENCE

Please type a detailed narrative explaining the facts which support a possible violation of the Article(s) alleged in the complaint. Upload your typed narrative using the button below.

Statement

Click on the Choose File button to upload a document. Files accepted: pdf, doc, docx, ppt, pptx, xls, xlsx, txt, jpg, jpeg, png, gif, bmp

EVIDENCE

Please submit all the documentary and physical evidence you have to support your case by uploading it using the button below. Please note all evidence must be submitted as one file.

Evidence

Click on the Choose File button to upload a document. Files accepted: pdf, doc, docx, ppt, pptx, xls, xlsx, txt, jpg, jpeg, png, gif, bmp

Section Four: PENALTIES

If found in violation, Respondent may be reprimanded, required to take remedial courses, fined, or any combination of these. In special circumstances, a suspension or termination may also result.

Section Five: COMPLAINTS FILED ELSEWHERE

Are the circumstances giving rise to this Ethics Complaint involved in civil or criminal litigation or any proceeding before the state real estate licensing authority or any other state or federal regulatory or administrative agency?*

YesNo

If Yes, Which Agency?

Have you filed a Rules Complaint with the Multiple Listing Service of Long Island, Inc. (MLSLI) regarding the same circumstances giving rise to this Ethics Complaint?
(This question does not apply to member of the Public)

YesNo

By typing your name below, you agree you are electronically signing this form and it will have the same force and effect as your signature.

Complainant(s) Signature*

Please separate by comma.

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LIBOR Ethics Complaint Form

Section One: COMPLAINANT

Section Two: STATEMENT OF TRUTH

Section Three: WRITTEN STATEMENT & EVIDENCE

EVIDENCE

Section Four: PENALTIES

Section Five: COMPLAINTS FILED ELSEWHERE