Appendix B

Appeal Submission Form

Version 1.0 Controlled Document. Master copy at
SMRPCO Headquarters
Draft 1/21/16
V 1.0 Approved 2/10/16 SMRPCO Board
Document Owner: Certification Director

SMRPCO Appeal Submission Form

Date of Appeal:

Appellant Name:
Address:
City, State, Province:
Country, Postal Code
E-mail Address:
Telephone Number:
Fax Number (if applicable):
Certification Number (if applicable):

Reason for Appeal:

Have you previously attempted to resolve this issue? Yes No

If so, please describe:

Is Supporting Documentation Attached (if applicable)? Yes No

Submit this form to SMRPCO staff as follows:

Via e-mail, at certify@smrpco.org or
Via hard copy, at
1300 Sumner Ave
Cleveland, OH 44115

For questions regarding this form or the appeals process, contact SMRPCO staff as follows:

Via e-mail, at certify@smrpco.org

Via telephone, at 216-241-7333
 Appendix C Complaint
Submission Form
Version 1.0 Controlled Document. Master copy at
SMRPCO Headquarters
Draft 4/26/16
V 1.0 Approved 4/26/26 SMRPCO Board
Document Owner: Certification Director

SMRPCO Complaint Submission Form

Date of Complaint:

Complainant Name:
Address:
City, State, Province:
Country, Postal Code
E-mail Address:
Telephone Number:
Fax Number (if applicable):
Certification Number (if applicable):

Complaint Topic / Target: SMRPCO Certifying Body, Staff, Process, Proctor,

Certificant
Name of Certificant:
Certificant Number (if available)
Other

Reason for Complaint:

Is Supporting Evidence Attached (if applicable)? Yes No

Submit this form to SMRPCO staff as follows:

Via e-mail, at certify@smrpco.org or
Via hard copy, at
1300 Sumner Ave
Cleveland, OH 44115

For questions regarding this form or the complaint handling process, contact SMRPCO staff as
follows:

Via e-mail, at certify@smrpco.org

Via telephone, at 216-241-7333