MLS Complaint- Respondent Form

Fields marked with an * are required.

Respondent Information

First and Last Name *

Please type your full first and last name below:

Email *

Brokerage: *

MLS Number

Please provide the MLS Number involved with the alleged violation (if applicable):

Address *

What is the address involved with the alleged violation?

Respondent Response

Written Response *

Please provide a written response detailing your explanation and any relevant facts. Kindly upload your response as a PDF or Word document.

20MB max

Listing Agreement

If asked, upload the listing agreement here:

20MB max

Supporting Documents

Any supporting documents not asked for, but you find relevant please upload here:

20MB max

Document

20MB max

Document

20MB max

Acknowledgement
I certify the information provided in this response is true and accurate to the best of my knowledge.

Certification *

By typing my first and last name below, I hereby acknowledge and affirm that this constitutes my electronic signature, with the same legal effect as a handwritten signature.

Date: *

Confidentiality Agreement
I understand that all complaints and their outcomes are confidential and will be treated as such.

Confidentiality Agreement *

By typing my first and last name below, I hereby acknowledge and affirm that this constitutes my electronic signature, with the same legal effect as a handwritten signature.

Date: *

Please verify that you have checked the “I'm not a robot” checkbox.