Report a Concern or Code Violation

Section 1 – Reporter’s Details

Full Name (required)

Contact Email / Telephone (required)

Relationship to the Person or Firm Being Reported
(e.g., client, colleague, member of the public, SWW member, introducer, etc.)

May the PSB contact you for further information?
YesNo

Do you wish to remain anonymous to the person being reported?
YesNo

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Section 2 – Person or Firm Being Reported

Name of Individual

Name of Firm (if applicable)

Address or Location (if known)

Membership Number (if known)

Role / Position (if known)

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Section 3 – Description of the Concern

Please provide as much detail as possible, focusing on factual information and avoiding assumptions or personal opinions.

(a) Time

When did the incident or concern occur? (Include dates and times, or indicate if it is ongoing.)

(b) Place

Where did the incident occur? (Provide location details such as an office address, event venue, or online setting — for example, a website, social media page, or virtual meeting.)

(c) Form

In what form did the conduct or concern occur? (Examples: written communication, verbal statement, document, behaviour, business practice, etc.)

(d) Event

Describe what happened. (Include who was involved, what actions were taken, what was said or done, and any supporting evidence or witnesses.)

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Section 4 – Supporting Evidence

Please list any relevant documents, correspondence, or other evidence, or use the file upload field below.

If witnesses are available, please provide their names and contact details (if appropriate).

Upload Supporting Documents (Optional - File Size Limits May Apply)

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Section 5 – Additional Comments

Is there anything else you wish to add that may help the PSB understand the matter or its context?

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Declaration

I confirm that the information I have provided is accurate to the best of my knowledge and that I am submitting this form in good faith.

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