Official Complaint Form

SECTION I Complainant Information Full Name Organization (if applicable) Mailing Address City, State, ZIP Phone Number Email Address Preferred Method of Contact ☐ Phone ☐ Email ☐ Mail SECTION II Organization or Business Being Reported Name of Organization or Business Type ☐ Pageant System ☐ Business ☐ Applicant ☐ Other Primary Contact (if known) Website (if known) SECTION III Nature of Complaint Please select the category or categories that best describe your concern. ☐ Ethical Misconduct ☐ Misrepresentation ☐ Unprofessional Conduct ☐ Harassment ☐ Discrimination ☐ Safety Concerns ☐ Financial Misconduct ☐ Failure to Follow Published Policies ☐ Misuse of LTP Verified™ Recognition ☐ Conflict of Interest ☐ Other SECTION IV Date(s) of Occurrence Please provide the date(s) the incident occurred. Date(s) Location(s) Event Name (if applicable) SECTION V Description of the Concern Please provide a detailed description of your concern. Include: What happened Who was involved How you became aware of the incident Any actions already taken (Attach additional pages if necessary.) SECTION VI Witness Information (If Applicable) Please list anyone who may have knowledge of the incident. Witness #1 Name Phone Email Relationship to Incident Witness #2 Name Phone Email Relationship to Incident Witness #3 Name Phone Email Relationship to Incident SECTION VII Supporting Documentation Please indicate any supporting documentation included with this complaint. ☐ Emails ☐ Contracts ☐ Photographs ☐ Videos ☐ Screenshots ☐ Text Messages ☐ Social Media Posts ☐ Event Programs ☐ Financial Records ☐ Witness Statements ☐ Other Brief Description SECTION VIII Previous Action Taken Have you attempted to resolve this matter directly with the organization or business? ☐ Yes ☐ No If yes, please explain. SECTION IX Requested Resolution Please describe what outcome you believe would reasonably resolve this matter. SECTION X Certification I certify that the information contained in this complaint is true and accurate to the best of my knowledge. I understand that knowingly submitting false or misleading information may result in dismissal of this complaint and may affect my ability to participate in future LTP Verified™ proceedings. I further understand that the submission of this complaint does not guarantee disciplinary action and that all complaints are reviewed in accordance with Policy LTP-V-006-2026. Printed Name Signature Date FOR OFFICIAL USE ONLY Complaint Number Date Received Received By Administrative Review Completed ☐ Yes ☐ No Complaint Accepted for Investigation ☐ Yes ☐ No Assigned Investigator Accreditation Council Review Date Final Disposition ☐ No Action ☐ Educational Guidance ☐ Written Warning ☐ Corrective Action Plan ☐ Probation ☐ Suspension ☐ Revocation ☐ Other Case Closed Executive Director Signature Notice All complaints are handled confidentially to the extent permitted by law and organizational policy. LTP Verified™ is committed to fairness, due process, and protecting the integrity of the accreditation program. Retaliation against any individual who files a complaint in good faith or participates in an investigation is strictly prohibited under Policy LTP-V-006-2026.