SCRB Complaint Form

The International Association of Rehabilitation Professionals (IARP) supplies this form for individuals (Complainants) who wish to submit a complaint against a rehabilitation professional who is a member, in good standing, with IARP. This complaint form is an official form and must be completed in its entirety, signed, and submitted to the IARP Standards Compliance Review Board (SCRB) along with suitable documentation in support of this complaint.

Download PDF Form

Submissions can be submitted in one of two ways:

VIA MAIL SUBMISSION, please send to:

Attention: SCRB
1000 Westgate, Suite 252
St. Paul, MN 55114


In order to fully understand IARP’s professional standards as well as procedures, IARP recommends that complainants review the IARP Code of Ethics housed in the IARP website: RehabPro/IARP-Code-of-Ethics.pdf and the IARP Code of Conduct housed in the IARP website: prior to processing this form.

If you are a client, you are encouraged to use the grievance process available at the agency or institution from which you are receiving services, have you done so?

If you are a professional colleague, you are encouraged to discuss this situation with the appropriate section leadership, have you done so?

Have you filed formal complaints with other organizations?

Please indicate below where else this complaint has been filed. If you check one or more of the items below, please attach appropriate documentation as well as status of complaint(s) to this form before submitting
List and attach supporting documentation to substantiate allegations; signed statements, invoices, payments, corroborating information from other sources, etc.). Lack of accompanying information will alert IARP SCRB that this complaint is not complete.
  1. By signing this form, I affirm that the allegations within this complaint and any accompanying information are based upon my personal knowledge and are correct to the best of my knowledge. I further affirm that I have submitted any and all information I believe relate to the allegations within the complaint. Further that documentation containing confidential or personal information about individuals not party to the complaint have been redacted or are accompanied by a written release of information. I understand and agree that all information and materials provided by me in connection to this complaint may be used as evidence by the SCRB.
  2. By signing this form, I acknowledge that all information, including a copy of this complaint form, any accompanying letters of complaint and supporting documentation will be submitted to the SCRB and the complainee (in the event the complaint is accepted for adjudication).
  3. By signing this form, I acknowledge that I must treat all information as confidential, and that the IARP SCRB will keep all information it receives strictly confidential, except if it discloses the information to its attorneys, the complainee or the complainant, or is required by law, regulation or court order to disclose the information.
  4. By signing, I acknowledge that I have read the IARP Code of Ethics and IARP Code of Conduct as applicable as well as the guidelines for processing complaints contained therein and I understand that these documents will be followed to process this complaint.
  5. By signing, I hereby grant permission to IARP SCRB to release all records of interactions between me and the SCRB and to answer all questions asked regarding any interactions pertaining to this complaint. Thus, the entire contents of this file, including documents from others, may become part of the evidence.

Please Sign and Date Form: IARP_SCRB_Complaint_Form.pdf

Either email to or upload below.