Consent to Sharing Complaint with the Respondent *

Ethics complaint filings cannot be filed anonymously. The Complainant's identity and all submissions will be forwarded to the Respondent in order for the Respondent to submit a Response. I have read and understand the policy.

YES

NO

Complainant's Full Name *

This field is required

First Name

Last Name

Complainant's Telephone *

(###)

###

####

Do you have an Advisor or Counsel? *

YES

NO

Respondent's Telephone *

(###)

###

####

Date of Last Violation *

If the date exceeds 365 days, Complaint is considered delayed and may not be heard. Litigation or licensing proceedings may not be good cause for delay. Explain any mitigating cause for delay.

MM

DD

YYYY

Any Other Filings? *

Is there currently pending civil litigation or an administrative (Licensing Board) proceeding concerning the subject matter of this Complaint?

YES

NO

Confidentiality *

Complainant agrees to avoid public disclosure and discussion of this Complaint, the parties involved, and the issues under consideration. The Complainant may contact persons with knowledge of the matter, who are potential witnesses, or who might otherwise have information relevant to allegations in a complaint.

YES

NO

Release and Waiver *

The undersigned hereby gives consent to The American Institute of Architects, its officers, directors, committee members, staff, members of the National Ethics Council, or other members (AIA) for the disclosure of the Complaint and all other submissions by or on behalf of Complainant to: (1) the Respondent(s) named in the Complaint and any lawyer or advisor designated by Respondent(s); (2) the AIA directors, officers, committee members, and staff whose access to the submissions is necessary for the resolution of the proceeding; and (3) the membership and the public generally in the event a Respondent is found in violation of the Code of Ethics and Professional Conduct and a nonconfidential sanction is imposed. THE UNDERSIGNED, INDIVIDUALLY AND ON BEHALF OF ANY FIRM OF WHICH THE UNDERSIGNED IS AN OWNER OR MANAGER, AGREES TO RELEASE AND WAIVE AND AGREES NOT TO SUE THE AIA FOR ANY DAMAGES RESULTING OR ALLEGED TO RESULT FROM THE FILING OF THIS COMPLAINT, INCLUDING AIA’S RECEIPT, REVIEW, AND ANY ACTION THEREON, INCLUDING PUBLIC DISCLOSURE OF ITS CONTENTS.

YES

NO

Date Signed *

Today

MM

DD

YYYY