196 lines
5.6 KiB
Plaintext
196 lines
5.6 KiB
Plaintext
EPS Complaint Form
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## EPS Complaint Form
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Step 1 of 4
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This form is managed by the RID EPS Department. This form is for making a
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complaint which is related to violations of the EPS Policy and/or the CPC and
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based on a situation or incident in which you were involved or have knowledge
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of. If your concern is based on public information such as newspaper articles,
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media, court judgements you can share this information with RID by filing a
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report: <https://rid.org/eps-report/>. Please continue if you wish to file a
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complaint. If you are unsure, contact [ethics@rid.org](mailto:ethics@rid.org).
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**Should you wish to file an EPS Complaint in ASL, please do
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so[HERE](https://www.videoask.com/fyd6t988p).**
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### Complainant Information
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Name of Person Filing Complaint (Complainant)(Required)
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First Last
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Address(Required)
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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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Phone(Required)
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Phone type(Required)
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Voice
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VP
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RID Member ID (If applicable)
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Email(Required)
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### Respondent Information
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Name(s) of the interpreter(s) against whom this complaint is being
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filed(Required)
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Full Name(s)
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Respondent(s) City and State
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What is the city and state of the interpreter(s) against whom this complaint
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is being filed? If you don’t know please respond, “I don’t know.”
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City State / Province / Region
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### Incident/Conduct Information
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You must describe the conduct of the respondent(s), in which language do you
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wish to provide this information?(Required)
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English
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ASL
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The EPS Department will reach out to you and provide a link to upload your
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video in ASL. **Please proceed with the remainder of the complaint form.**
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Please describe the conduct involved. Be sure to include as many details as
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possible such as the location, date, and time.(Required)
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Do you have any documentation supporting the alleged unethical
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conduct?(Required)
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Yes
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No
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Please attach all relevant documents supporting the alleged unethical conduct.
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If you have more than one document, please attach each document individually
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in the file upload spaces below.
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Max. file size: 300 MB.
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Additional relevant document
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Max. file size: 300 MB.
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Additional relevant document
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Max. file size: 300 MB.
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If you have more files to upload, please contact
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[ethics@rid.org](mailto:ethics@rid.org).
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### CPC Violation Information
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If you need to reference the NAD-RID CPC to answer the following questions
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below, please review the policy here by copy and pasting the following link in
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a separate window: https://rid.org/programs/ethics/code-of-professional-
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conduct/
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If you allege a violation of the NAD-RID Code of Professional Conduct, please
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check which tenet(s) you believe were violated.(Required)
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Tenet 1.0 CONFIDENTIALITY
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Tenet 2.0 PROFESSIONALISM
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Tenet 3.0 CONDUCT
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Tenet 4.0 RESPECT FOR CONSUMERS
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Tenet 5.0 RESPECT FOR COLLEAGUES
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Tenet 6.0 BUSINESS PRACTICES
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Tenet 7.0 PROFESSIONAL DEVELOPMENT
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N/A
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I don't know
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### EPS Policy Violation Information
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If you need to reference the RID EPS Policy to answer the following questions
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below, please review the policy by copy and pasting the following link in a
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separate window:
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https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:910f8855-e5df-4153-80cb-e759f74ebdb8
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If you allege a violation of the Prohibited Actions and Behaviors from the EPS
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Policy RELATING TO THE INTEGRITY OF MEMBERSHIP AND CREDENTIALS please check
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which you believe were violated.(Required)
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Misrepresentation of Membership and Credentials
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Certification Maintenance Program (CMP) Infringement
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Dishonest Actions Impacting CASLI Testing
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N/A
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I don't know
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If you allege a violation of the Prohibited Actions and Behaviors from the EPS
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Policy RELATING TO UPHOLDING TRUST IN THE PROFESSION please check which you
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believe were violated.(Required)
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Confidentiality Transgressions
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Misconduct via Online Professional Spaces
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Actions Taken During Interpreting-Related Activities
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Negligence in Recommending or Utilizing Necessary Resources
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Disrespect for colleagues, consumers, organizational stakeholders, and
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students of the profession
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Dishonesty while Conducting the Business of Interpreting
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N/A
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I don't know
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If you allege a violation of the Prohibited Actions and Behaviors from the EPS
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Policy RELATING TO ADVERSE ACTIONS please check which you believe were
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violated.(Required)
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Misusing the Disciplinary Procedures
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N/A
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I don't know
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### Signature
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By my signature here, I certify that:
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* The information provided here and in any attachments are true and accurate to the best of my knowledge and belief.
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* 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.
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* 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.
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* 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.
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Electronic Signature(Required)
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Date(Required)
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MM slash DD slash YYYY
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RID has the sole discretion to determine which complaints should be pursued,
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how they should be pursued, and what action, if any, should be taken, in
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accordance with the RID Ethical Practices System Policies and Procedures.
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