North Carolina Association of Private Investigators

Ethics Complaint Form

Complainant Information                             Date of Complaint:                             
Name Of Person / Entity making complaint:                                                          
Address: _______________________________________________________

______________________________________________________________

Phone Numbers: Home: ___________________, Work: __________________

Cell: _________________________     E-Mail Address:                                    

Complaint / Subject Information

Name of Person / Company complaint is being filed against:

______________________________________________________________

Is person / company currently licensed in North Carolina? ____ Yes  _____ No

Is person / company currently a member of NCAPI? _____ Yes  _____ No

License Number: ________________

Address:                                              City                            State          Zip           

Phone Number(s):    Office:                          Cell:                         Fax:                      

What is your relationship with this subject? _______ Client  _____ Associate            
Lawyer  ____ Other (please explain)                                                                     ______________________________________________________________

Any other person(s) involved: _______________________________________

Their relationship to subject: ________________________________________

Complaint Information

Date(s) of Incident: _______________________________________________

Location(s) of Incident:                                                                                         
 

Please describe, in detail, the nature of this complaint  (use additional pages if necessary):
                                                                                                                             
                                                                                                                             

Please include any and all documents and supporting evidence related to this complaint.

DO NOT SEND ORIGINAL PAPERWORK ONLY SEND COPIES 

Complaint Specifics:

Please indicate which of the following ethics areas this complaint deals with:

Did the subject of this complaint engage in illegal or unethical conduct?

________ Yes    _______ No

Did the subject of this complaint demonstrate a lack of integrity or professionalism
during the performance of his / her contracted services?

_________ Yes   _______ No

Did the subject of this complaint fail to comply with legal orders of the court(s),
testify falsely, or give inaccurate, incomplete or non factual information?

_________ Yes   ________ No

Did the subject of this complaint reveal confidential information or records without
proper authorization?

_______ Yes    ________ No

Did the subject of this complaint fail to cooperate with law enforcement, local,
state or federal, or with any governmental agency, with in their jurisdiction?

________ Yes    ______ No

Please give any details regarding any of the above answers (use additional papers if needed)

Please complete all sections of this form and return them, along with all necessary
documentation to:

NCAPI

PO Box 18585

Charlotte, NC 28218-0585

A full investigation will be conducted and all relevant parties will be interviewed and asked to
participate to their fullest. All findings of the Ethics Committee will be presented to the NCAPI
Board of Directors for the final disposition.

Undersigned declares under penalty of                           Subscribed and sworn to before me this

perjury that the foregoing is true and correct.                                        day of                                     , 2007

                Signature of Complainant                                                        Notary Public  

                                                                          My Commission Expires: