Ethical Complaint Form
This form is provided for the initial reporting of a potential breach of ethics by someone who is a member of the Professional Speaking Association.

This form must be submitted within one month of the complainant knowing about the potential ethical breach.

The PSA will process the form and respond to the complainant within14 days of the form being received.

Further information may be requested.

The full ethical procedures can be seen at http://www.thepsa.co.uk/membership/ethics/

Full name
Your answer
Company or organisation
Your answer
Email address
Your answer
Telephone number
Your answer
Person against whom complaint is made
Your answer
Membership Level of person against whom complaint is made (if known)
Date on which potential ethical breach took place
MM
/
DD
/
YYYY
Nature of ethical breach
Required
Brief outline of ethical complaint
Your answer
Details of any remedies attempted
Your answer
Thank you
Your form will now be submitted to the PSA Operations Manager and the PSA Chief Executive Officer who will ensure it received immediate attention
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