Pro-Standards – Form D1 – Disciplinary Complaint

Step 1 of 5

Case # (assigned by IVAR Pro-Stds Administrator): ___________________

1. I (we), the undersigned Complainant(s), hereby allege that...(Required)

the following person(s) have engaged in conduct subject to disciplinary action:

Yes, I hereby Allege

Name (Respondent #1):(Required)

First Last

Firm Name (Respondent #1):(Required)

CA DRE Number (Respondent #1):(Required)

Address (Respondent #1):(Required)

Street Address City State ZIP Code

Phone (Respondent #1):(Required)

Email (Respondent #1):(Required)

Additional Respondents (optional)

Add 2nd Respondent?

YES

Name (Respondent #2):

First Last

Firm Name (Respondent #2):

CA DRE Number (Respondent #2):

Address (Respondent #2):

Street Address City State ZIP Code

Add 3rd Respondent?

YES

Name (Respondent #3):

First Last

Firm Name (Respondent #3):

CA DRE Number (Respondent #3):

Address (Respondent #3):

Street Address City State ZIP Code

Add 4th Respondent?

YES

Name (Respondent #4):

First Last

Firm Name (Respondent #4):

CA DRE Number (Respondent #4):

Address (Respondent #4):

Street Address City State ZIP Code

3. The facts and circumstances supporting the above allegation(s) are detailed in the attached statement marked "Exhibit 1," which is hereby incorporated by reference and made part of this complaint.(Required)

Drop files here or

Max. file size: 20 MB, Max. files: 5.

4. I am informed that the named respondent(s) are current REALTOR® members of the Association and/or participants/subscribers in the MLS or that the property at issue is located within the jurisdiction of this Association.(Required)

Yes, I am informed

5. Date of knowledge of alleged misconduct is:(Required)

This complaint, meeting all filing requirements, must be filed within 180 calendar days after the facts constituting alleged misconduct could have been known in the exercise of reasonable diligence or one hundred eighty (180) days after the conclusion of the transaction, or event, whichever is later.

6. Are the circumstances giving rise to this complaint, or the respondents in this case, involved in a civil or criminal proceeding or in any proceeding before a governmental agency?(Required)

Yes

If you answered yes, please attach a written statement of explanation.

File

Max. file size: 20 MB.

7. Have you filed, or do you plan to file a similar or related complaint with another REALTOR(R) Association?(Required)

Yes

If you answered yes, please attach a written statement of explanation.

File

Max. file size: 20 MB.

8. I understand there will be a recording of any full disciplinary hearing. I understand that the recording is subject to the rules of confidentiality and is made solely for the purpose of a Review by the Association Board of Directors, if one is requested.(Required)

Yes, I understand

9. I will be represented by an attorney:

First Last

Address (Attorney):

Street Address Address Line 2 City State ZIP Code

Phone (Attorney):

Email (Attorney):

10. I agree to abide by the rules and procedures used by this Association to conduct disciplinary hearings. I understand that the proceedings regarding this matter will be kept confidential and that I have an obligation to maintain and protect this confidentiality.(Required)

Yes, I agree and I understand

Under the penalties of perjury, I declare that to the best of my knowledge and belief my allegations in this complaint are true and correct.(Required)

Yes, I declare

Declaration Date:(Required)

Declaration Location (a city within California):(Required)

Name (Complainant #1):(Required)

First Last

Firm Name (Complainant #1):(Required)

CA DRE Number (Complainant #1):(Required)

Address (Complainant #1):(Required)

Street Address City State ZIP Code

Phone (Complainant #1):(Required)

Email (Complainant #1):(Required)

Add 2nd Complainant?

YES

Name (Complainant #2):

First Last

Firm Name (Complainant #2):

CA DRE Number (Complainant #2):

Address (Complainant #2):

Street Address City State ZIP Code

Phone (Complainant #2):

Email (Complainant #2):

Add 3rd Complainant?

YES

Name (Complainant #3):

First Last

Firm Name (Complainant #3):

CA DRE Number (Complainant #3):

Address (Complainant #3):

Street Address City State ZIP Code

Phone (Complainant #3):

Email (Complainant #3):

Add 4th Complainant?

YES

Name (Complainant #4):

First Last

Firm Name (Complainant #4):

CA DRE Number (Complainant #4):

Address (Complainant #4):

Street Address City State ZIP Code

Phone (Complainant #4):

Email (Complainant #4):

Pro-Standards – Form D1 – Disciplinary Complaint

Case # (assigned by IVAR Pro-Stds Administrator): ___________________

Additional Respondents (optional)

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