Real Estate Disciplinary Action Form

This Real Estate Disciplinary Action Form serves as a crucial tool for [Your Company Name] to document and address violations of professional standards and ethical conduct by real estate practitioners. It provides a structured framework for recording details of the violation, the action taken by the regulatory authority, and any additional comments or observations pertinent to the case.

Basic Information

Name of Real Estate Practitioner:
License Number:
Address:
Phone Number:
Email Address:
Date of Action:

Details of Violation

Violation Description	Evidence/Documentation
Failure to disclose property defects during sale.	Copies of emails between the practitioner and the client where defects were discussed. Inspection report highlighting undisclosed defects. Testimony from the buyer confirming lack of disclosure.

Action Taken

Type of Action	Description	Effective Date	Duration
License Suspension	License suspended pending investigation into the violation.	[Date of Suspension]	[Duration of Suspension]
Fine	A fine of $5,000 imposed as per regulatory guidelines.	[Date of Fine]	N/A

Additional Comments

The practitioner has been cooperative throughout the investigation process and has expressed remorse for the oversight regarding the failure to disclose property defects during the sale. It has been noted that this is the first disciplinary action against the practitioner during their tenure in the real estate industry.

Regulatory Authority Representative