Send completed form and other documentation to: Barbershop Harmony Society C/O Ethics Committee Chair (please forward) 110 7th Avenue North, Nashville, TN 37203 This form shall be used to state facts regarding an alleged violation of the Barbershop Harmony Society’s Code of Ethics. A complaint may be made by any member, or a non-member, who believes he or she has information of which the Society should be aware regarding the conduct of a member of the Society. All Report Forms shall be directed to the Chairman of the Society Ethics Committee, whose contact information are set out above. Name of Society member against whom this complaint is made: ___________________________________________________________________________________________________________________________________ Name of the person making the complaint: ___________________________________________________________________________________________________________________________________ Postal Address of person making the complaint: ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Email address: _____________________________________________________________________________________________________________ Telephone:
List the Canon of Ethics violated (if known): ________________________________________________________________________________________________________________________ State here the facts supporting the alleged violation and please include the names and contact information for any other persons you believe have information in support of this alleged violation. (Use additional pages if necessary, and if you have supporting documents please attach or include those with the Report Form.) ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________ Signature of Complainant:
BHS Ethics Violation Report Form Rev.12-31-2015.pdf
Page 1 of 1. Ethics Violation Report Form. Send completed form and other documentation to: Barbershop Harmony Society. C/O Ethics Committee Chair (please forward). 110 7th Avenue North, Nashville, TN 37203. This form shall be used to state facts regarding an alleged violation of the Barbershop Harmony. Society's ...
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