Chicago Association Of REALTORS®
 
OMBUDSMAN REQUEST FORM

Request Date:


Your Information


Name:
Your Role:
Your Address:
Your Phone:
Your Email
Concerning Property:

Realtor #1 Information


Name:
Firm Name:
Phone:
Email

Realtor #2 Information


Name:
Firm Name:
Phone:
Email

Background Information


Has a formal complaint been filed with the Chicago Association of REALTORS?

Is this dispute involved in civil or criminal litigation?

Has a formal complaint been filed with any other administrative or government agency?
If yes, what agency?

Please briefly state the concerns that you would like to address with a Chicago Association of REALTORS Ombudsman: