DAYTONA BEACH AREA ASSOCIATION OF REALTORS®
ETHICS COMPLAINT FORM


DATE: _________________________

TO: Grievance Committee - Daytona Beach Area Association of REALTORS®

Case No.____________________                                 Filed _________________ , 20____
(for internal use only)

___________________________________ ___________________________________
   
___________________________________ ___________________________________
Complainant(s)  Respondent(s)
                                                               

Complainant(s) charge(s):
An alleged violation of Article(s)

_________________________________________________________________________
(please list the Article number(s) only. You may cite a specific Standard of Practice in support. Example: Article 2,
Standard 2-1)


of the Code of Ethics;
or other membership duty as set forth in the bylaws of the Association in _______________
                                                                                                                             (Article, Section)
and alleges that the above Article, Section charge(s) (is/are) supported by the attached statement, which is signed and dated by the complainant(s) and which explains when the alleged violation(s) occurred and, if a different date, when the complainant(s) first knew about the alleged violations.

This complaint is true and correct to the best knowledge and belief of the undersigned and 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(s) alleged violation(s) took place: _____________________________________________________________

Date(s) you became aware of the facts on which the alleged violation(s) (is/are) based: _______________________

I (we) declare that to the best of my (our) knowledge and belief, my (our) allegations in this complaint are true.

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

_____Yes     _____ No

You may file an ethics complaint in any jurisdiction where a REALTORS® is a member or MLS participant. Note that the REALTORS® Code of Ethics, Standard of Practice 14-1 provides, in relevant part, “REALTORS® shall not be subject to disciplinary proceeding in more than one Board of REALTORS®. . . with respect to alleged violations of the Code of Ethics relating to the same transaction or event.”

Have you filed, or do you intend to file, a similar or related complaint with another Association(s) of REALTORS®?

_____Yes _____No

If so, name of other Association(s): ___________________________________

Date(s) filed: ________________

I understand that should the Grievance Committee dismiss this ethics complaint in part or in total, that I have twenty (20) days from my transmittal of the dismissal notice to appeal the dismissal to the Board of Directors.

________________________________                     ________________________________
Complainant(s) Name (Type or Print)                                        Complainant(s) Signature

________________________________                     ________________________________
Complainant(s) Name (Type or Print)                                        Complainant(s) Signature


_________________________________________________________________________
Complainant's Address

__________________________________              ________________________________
Phone                                                                                  Email


Please return to:

Grievance Committee, Daytona Beach Area Association of REALTORS®
1716 Ridgewood Ave
Holly Hill, FL 32117