1. (a) Persons wishing to raise allegations of misconduct by a certified family mediator or in respect to a certified family mediator training program shall submit to the board's office a written allegation of misconduct including the information described in (b) below, using mail, facsimile, or electronic means.

2. (b) The allegation shall include:

   1. (1) The name and address of the allegor;

   2. (2) If the allegation is made on behalf of another person:

      1. a. The name and address of that person; and
      2. b. A statement describing the authority of the allegor to allege on behalf of that person;
   3. (3) The date of the allegation;
   4. (4) If the allegations are raised against an individual family mediator, the name of the individual;

   5. (5) If the allegations are raised against a family mediator training program:

      1. a. The title of the training program; and
      2. b. If known, the name of its director;
   6. (6) If known, the business address and telephone number of the individual or entity which allegations are being raised against;
   7. (7) A detailed description of the action(s), omission(s), or event(s) alleged;
   8. (8) The beginning and ending dates of the action(s), omission(s), or event(s) being alleged; and
   9. (9) As attachments, copies, but not originals, of any documents which relate to the issues raised by the allegation.

Source. #9669, eff 4-2-10; ss by #12506, INTERIM, eff 4-2-18, EXPIRED: 10-1-18 New. #12633, eff 10-2-18