Professional Ethics Complaint Submission Form

To file a complaint against an Illinois CPA Society (ICPAS) member, please complete and mail/email this form to

Illinois CPA Society
225 W. Randolph St., Suite 450
Chicago, IL 60606
Attention: Oralia Guajardo
Email

An * (asterisk) denotes required information. If required information is left blank, we will be unable to investigate your complaint.

Complainant Information (individual filing the complaint):
If you are filing an anonymous complaint, you may leave this section blank

First Name:

Last Name:

Address:

Telephone:

Email:

Are you an ICPAS member?

Respondent Information (ICPAS member you are filing the complaint against)

Respondent’s Name(s): (List the names of all respondents if more than one is involved.)

Respondent’s Email Address(es):

Respondent’s Telephone Number(s):

License Number(s): (www.idfpr.com)

Name of Respondent’s Company, Organization or Firm:

Address of Respondent’s Company, Organization or Firm:

Complainant’s Relationship to ICPAS Member (e.g., client, employer, employee):

Professional Services Engaged to Perform by the ICPAS Member (e.g., audit, tax, consulting):

Position of ICPAS Member at his or her company, organization, or firm:

Summary of the Complaint *
Please provide clear and concise details of your complaint, including pertinent dates and a list of your complaint(s) as well as relevant documentation supporting your complaint(s) (e.g., engagement letters, correspondence, or other documentation)

Complaint

List any related complaints you have filed with any regulatory agency [e.g., Illinois Department of Financial and Professional Regulation (IDFPR), Internal Revenue Service (IRS), Securities and Exchange Commission (SEC), etc.] relating to this matter:

Are the related investigations complete?

Please provide the results of the investigation or investigations, if complete:

Are there any legal proceedings related to this matter that are intended, have already commenced, or have been adjudicated by a court of law?

If adjudicated, please provide the outcome of this matter:

Please note that the Illinois CPA Society has the authority to investigate complaints against its members that involve potential violations of its code of professional conduct. However, the ICPAS does not have the authority to resolve fee disputes, award damages, prosecute in a criminal action, settle claims between parties or decide on matters involving litigation that have not been adjudicated by a court of law.

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Professional Ethics Complaint Submission Form