MEMBERSHIP
EDUCATION
CREDENTIALING
RECOVERY RESIDENCES
MEMBERSHIP
EDUCATION
CREDENTIALING
RECOVERY RESIDENCES

Ethics Complaint Form

Please fill out this form if you believe a professional registered or certified by CCAPP has violated the code of ethics. CCAPP does not have jurisdiction over those who are not registered or certified with CCAPP. You will be notified when we receive your complaint. You may be contacted by an ethics investigator. You will not be provided details about the outcome of the investigation, as this is confidential. However, you will be notified when the investigation has concluded.

Your name and contact information is required. We cannot investigate anonymous complaints. We will not give your name out to the person you are filing the complaint about.

Ethics Complaint Form

Your Information

First
Last
Address
Address
City
State/Province
Zip/Postal
Country

Person you are reporting

Name
Name
First
Last
Address Where Incident Occurred
Address Where Incident Occurred
City
State/Province
Zip/Postal
Country
I CERTIFY THAT ALL INFORMATION WHICH I HAVE GIVEN HEREIN TO BE TRUE CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE