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UKTRB Complaint

Submission Form

This form allows members of the public, service users, or professionals to submit a concern about a practitioner on the UKTRA Register. Complaints can relate to conduct, competence, boundaries, safeguarding, or breach of UKTRA’s Code of Ethics. We take all concerns seriously and commit to a fair, trauma-informed process

Your Details

Relationship to the practitioner (e.g. client, colleague, employer)

Are you submitting this complaint of behalf of someone else?

Yes

No

If yes, please provide their name and relationship to you

Practitioner Details

Registration Number (if known)

Location/Service where incident occurred (if applicable)

Details of your concern

Please describe clearly what happened

Date(s) of Incident(s)

Have you raised this concern with the practitioner or their employer?

Yes

No

I am their Employer

Is the matter ongoing?

Yes

No

SUPPORTING EVIDENCE Please list any documents or materials that support your concern

Document 1:

Document 2:

Screenshots, correspondence, or witness statements (optional):

Desired Outcome

What outcome are you seeking from this complaint? (e.g. investigation, guidance, formal warning, removal):

Confidentiality & Support

Do you require communication support or an advocate during this process?

Yes

No

Would you prefer your identity to be withheld from the practitioner? (note: anonymous complaints may limit investigation)

Yes

No

Declaration

🗸 The information I have provided is accurate to the best of my knowledge

🗸 I understand this form may be shared (in part) with relevant UKTRB personnel or regulatory panels

🗸 I understand that making a false or malicious complaint is a breach of UKTRB’s ethical standards

Signature:

Date:

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