I consent to IPS copying this complaints form and any other documents that I provide to the person or entity I am complaining about. I understand that the powers of IPS are limited to excluding a person from membership and authorisation, excluding an entity from authorisation, reprimanding or warning the person or entity, or ordering the person or entity to pay a fine to IPS. Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name (please print): . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I consent to IPS copying this complaints form and any other documents that I provide to the person or entity I am complaining about. I understand that the powers of IPS are limited to excluding a person from membership and authorisation, excluding an entity from authorisation, reprimanding or warning the person or entity, or ordering the person or entity to pay a fine to IPS. Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name (please print): . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ComplaintForm%202015.docx