EPS Complaint Form     

## EPS Complaint Form

Step 1 of 4


This form is managed by the RID EPS Department. This form is for making a
complaint which is related to violations of the EPS Policy and/or the CPC and
based on a situation or incident in which you were involved or have knowledge
of. If your concern is based on public information such as newspaper articles,
media, court judgements you can share this information with RID by filing a
report: <https://rid.org/eps-report/>. Please continue if you wish to file a
complaint. If you are unsure, contact [ethics@rid.org](mailto:ethics@rid.org).

**Should you wish to file an EPS Complaint in ASL, please do
so[HERE](https://www.videoask.com/fyd6t988p).**

### Complainant Information

Name of Person Filing Complaint (Complainant)(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Phone type(Required)

Voice

VP

RID Member ID (If applicable)

Email(Required)

### Respondent Information

Name(s) of the interpreter(s) against whom this complaint is being
filed(Required)

Full Name(s)

Respondent(s) City and State

What is the city and state of the interpreter(s) against whom this complaint
is being filed? If you don’t know please respond, “I don’t know.”

City State / Province / Region

### Incident/Conduct Information

You must describe the conduct of the respondent(s), in which language do you
wish to provide this information?(Required)

English

ASL

The EPS Department will reach out to you and provide a link to upload your
video in ASL. **Please proceed with the remainder of the complaint form.**

Please describe the conduct involved. Be sure to include as many details as
possible such as the location, date, and time.(Required)

Do you have any documentation supporting the alleged unethical
conduct?(Required)

Yes

No

Please attach all relevant documents supporting the alleged unethical conduct.

If you have more than one document, please attach each document individually
in the file upload spaces below.

Max. file size: 300 MB.

Additional relevant document

Max. file size: 300 MB.

Additional relevant document

Max. file size: 300 MB.

If you have more files to upload, please contact
[ethics@rid.org](mailto:ethics@rid.org).

### CPC Violation Information

If you need to reference the NAD-RID CPC to answer the following questions
below, please review the policy here by copy and pasting the following link in
a separate window: https://rid.org/programs/ethics/code-of-professional-
conduct/

If you allege a violation of the NAD-RID Code of Professional Conduct, please
check which tenet(s) you believe were violated.(Required)

Tenet 1.0 CONFIDENTIALITY

Tenet 2.0 PROFESSIONALISM

Tenet 3.0 CONDUCT

Tenet 4.0 RESPECT FOR CONSUMERS

Tenet 5.0 RESPECT FOR COLLEAGUES

Tenet 6.0 BUSINESS PRACTICES

Tenet 7.0 PROFESSIONAL DEVELOPMENT

N/A

I don't know

### EPS Policy Violation Information

If you need to reference the RID EPS Policy to answer the following questions
below, please review the policy by copy and pasting the following link in a
separate window:
https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:910f8855-e5df-4153-80cb-e759f74ebdb8

If you allege a violation of the Prohibited Actions and Behaviors from the EPS
Policy RELATING TO THE INTEGRITY OF MEMBERSHIP AND CREDENTIALS please check
which you believe were violated.(Required)

Misrepresentation of Membership and Credentials

Certification Maintenance Program (CMP) Infringement

Dishonest Actions Impacting CASLI Testing

N/A

I don't know

If you allege a violation of the Prohibited Actions and Behaviors from the EPS
Policy RELATING TO UPHOLDING TRUST IN THE PROFESSION please check which you
believe were violated.(Required)

Confidentiality Transgressions

Misconduct via Online Professional Spaces

Actions Taken During Interpreting-Related Activities

Negligence in Recommending or Utilizing Necessary Resources

Disrespect for colleagues, consumers, organizational stakeholders, and
students of the profession

Dishonesty while Conducting the Business of Interpreting

N/A

I don't know

If you allege a violation of the Prohibited Actions and Behaviors from the EPS
Policy RELATING TO ADVERSE ACTIONS please check which you believe were
violated.(Required)

Misusing the Disciplinary Procedures

N/A

I don't know

### Signature

By my signature here, I certify that:

* The information provided here and in any attachments are true and accurate to the best of my knowledge and belief.
* I request that the RID’s EPS review my assertions of unethical conduct on the part of the individual(s) named above. Further, I understand and agree that my name will appear as COMPLAINANT.
* I authorize RID to contact me regarding this complaint, if deemed necessary. I authorize RID to release this complaint and all other supporting material I have provided or may provide in the future to the subject of the complaint, members of EPS Review Board, attorneys and others as deemed appropriate by RID or as required by law.
* By typing my name, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By typing my name using any device, means, or action, I agree that my signature on this document is as valid as if I signed the document in writing.

Electronic Signature(Required)

Date(Required)

MM slash DD slash YYYY

RID has the sole discretion to determine which complaints should be pursued,
how they should be pursued, and what action, if any, should be taken, in
accordance with the RID Ethical Practices System Policies and Procedures.


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