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CEAM Ethics Form E13

CEAM Ethics Form E13

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Published by: REALTORS® on Jan 11, 2013
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01/05/2016

Form #E-13

____________________________________________________________________________________________________________
Board or State Association
____________________________________________________________________________________________________________
Address City State Zip
Request for Appeal (Ethics)
To the President of the ______________________________________________________________________________________
Board or State Association
In the case of: ____________________________________________ vs. ______________________________________________.
Complainant Respondent

I (we), __________________________________________________, do hereby request an appeal before the Board of Directors of
the _____________________________________________________________________________________________________.
Board or State Association
My (our) appeal is based on the following:
Check one or more and set forth in reasonable detail (narrative) the facts and evidence which support the bases cited. Attach narrative
to Appeal Form. Complainant may only appeal on procedural defciency or lack of due process.
p Misapplication or misinterpretation of an Article(s) of the Code of Ethics
p Procedural defciency or any lack of procedural due process
p The discipline recommended by the Hearing Panel
The Request for Appeal Form must be accompanied by a deposit in the amount of $____________________* made payable to the
________________________________________________________________________________________________________.
Board or State Association
NOTE #1: If the decision of the Hearing Panel is ratifed, the deposit will be retained by the Association. If the appeal is upheld, the
deposit will be returned to the appellant. If the decision of the Hearing Panel is modifed, disposition of the deposit will be determined
by the Directors considering the appeal.
NOTE #2: Only those facts and issues raised in this written request will be considered by the Board of Directors at the appeal hearing.
Dated: ____________________________________________
Name (Type/Print ) __________________________________ Name (Type/Print) __________________________________
Signature __________________________________________ Signature _________________________________________
Address ___________________________________________ Address ___________________________________________
__________________________________________________ __________________________________________________
Phone _____________________________________________ Phone ____________________________________________
(Revised 5/05)
*Not to exceed $500.
Code of Ethics and Arbitration Manual 108

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