IACP - Complaint Form

International Association of Canine Professionals - Complaint Form

Use this form to state a complaint.
Complainant Information

Tell us about you, being sure to accurately indicate your contact information.
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Are you an IACP Member?*

YesNo
If you are an IACP member, please list your member number:
Member #
Accused Information

Tell us about the IACP member you are filing a complaint against, being sure to accurately date and include correct contact information.
Do you have direct knowledge of the incident related to this complaint?*

YesNo
Your relationship to the Accused *
Ex: client
Name of the Accused*
Is the person you are accusing an IACP Member?*

YesNoUncertain
If yes please state the accused's IACP member here:
If unknown, leave blank
Accused Person's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accused Person's Phone number
Accused Person's E-mail
Summary of Complaint
Date of Incident (If more than one, please report each event on a separate form)*

MonthDayYear
Date
Where did the specific event occur?*
Please explain the events that occurred. Provide a detailed description of the alleged conduct and other facts pertinent to your complaint, such as who, what, when, where, etc.:*
Were there any witnesses to this specific event? If yes, please provide the contact information of any other person(s) who may have witnessed or have pertinent information relevant to the complaint.
Evidence

Cases will be processed solely on evidence provided. Please provide complete and factual information.
Please provide any and all supporting evidence for your complaint, as it may not be decided based solely on your statement. Failure to submit evidence may result in your complaint being considered unfounded. This can include, but is not limited to, photos, videos, social media screenshots, emails, and text messages.*
Upload files pertaining to this complaint here:

Cancelof
Attestation, Confidentiality and Indemnity
I affirm that the information provided is the truth to the best of my knowledge and belief. I agree not to disclose all or part of any record, document, file, evidence, or any decision of the IACP Ethics Committee and/or Board of Directors.

I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS THE INTERNATIONAL ASSOCIATION OF CANINE PROFESSIONALS, (IACP), ITS EMPLOYEES AND COMMITTEE VOLUNTEERS, FROM ANY CLAIM OR ACTION THAT MAY RESULT FROM SUCH IMPROPER DISCLOSURE CAUSED IN ANY PART BY MY ACTIONS.
Today's Date
Today's Date*

MonthDayYear
Date
Legal Signature*

Clear
Should be Empty:

International Association of Canine Professionals - Complaint Form

Complainant Information

Accused Information

Summary of Complaint

Evidence

Attestation, Confidentiality and Indemnity