Florida Certification Board

Florida Certification Board

Ethical Complaint - Respondent Form
Fill out this form to respond to an ethical complaint.

Before you start, gather all the information you will need. This includes a clear explanation of what happened from your point of view, any documents you plan to upload, and signed releases if you are sharing confidential information. If you do not have signed releases, be sure to remove or block out any confidential details before submitting.

Your response is due within 20 days from the date you received this notice. If you do not respond, the Board will assume the complaint is valid and will proceed based on the information available. If you do respond, your statement will be shared with the person who filed the complaint so they can review it and provide a rebuttal. After that, the Board will review all information and decide whether to begin an investigation.

Provide a Detailed Response to the Complaint
Provide a thorough description of your response to the alleged conduct and other facts pertinent to the complaint, such as who, what, where, when, etc.*
Include the specific date(s) of the alleged conduct and any relevant details such as who was involved, what occurred, where it happened, and when it took place.
Do you have supporting documentation?*

YesNo
Does the documentation contain confidential information protected by another confidentiality law? (Confidential information includes identifying information or other materials protected by law.)*

YesNo
Do you have signed releases to share confidential information with the Board?*

YesNo
Please Stop Here and Do Not Submit the Form Until Releases are Secured or Confidential Information is Redacted.
Upload Release Forms.*

If your documentation contains confidential information, you must upload an Authorization to Release Information Form or Redacted Confidential/Identifying Information.
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Upload supporting documentation: If you do not have signed releases, make sure to remove or block out all confidential information before uploading supporting documents.

You may upload files such as reports, emails, or photos.
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Other Individuals to Contact

Witnesses or Others Who Can Provide Information
Please provide the contact information of any other person(s) who may have information relevant to this response. The Florida Certification Board (FCB) may contact these individuals as part of the investigation.

You are preparing to submit your official response to the ethical complaint filed against you. Once submitted, your response will be sent to the person who filed the complaint. They will have 10 days to review it and provide a reply. After that deadline passes, the Board will review all information and decide whether to formally open an ethical investigation.

You will be notified of the Board’s decision within 10 days after the rebuttal period ends.

When you are ready, please sign, date, and submit your response electronically
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