Ombudsman Request

The Ombudsman Program, in its simplest definition, is informal telephone mediation. In some cases, it can address and solve minor complaints from the public. It can also solve inter-REALTOR® conflicts before they become serious problems. Like a mediator, an ombudsman helps parties find solutions.

The Ombudsman’s role is primarily one of communication and conciliation, not adjudication. Ombudspersons do not determine whether ethics violations have occurred; rather, they anticipate, identify and resolve misunderstandings and disagreements before matters develop into disputes and possible charges of unethical conduct.

If you have any questions, please contact Kim Braaten at 402/323-6500 or email kim@nebraskarealtors.com.

* All information on this form is confidential. The Nebraska REALTORS® will destroy this form and any other documents and materials pertaining to this matter at the conclusion of the ombudsman services.

COMPLAINANT CONTACT INFORMATION

Complainant Information: Individual(s) making this complaint

Complainant Name: *

Role in Transaction: *

Property Address (if any):

City: *

State:

Preferred Phone Number for Contact: *

Best times to contact you: *

Any time

Morning

Afternoon

Other Other

Email Address: *

POTENTIAL RESPONDENT CONTACT INFORMATION

Respondent Information: Individual(s) the complaint is in regards to

Potential Respondent Name: *

Potential Respondent's Firm: *

Address:

City

State

Potential Respondent's Role in Transaction: *

Potential Respondent's Phone Number *

Name of Potential Respondent's Broker: *

What issue would you like the Ombudsman to resolve? *

* All information on this form is confidential. The Nebraska REALTORS® will destroy this form and any other documents and materials pertaining to this matter at the conclusion of the ombudsman services.

Buyer	Seller
Broker	Agent
Other: Other:

Buyer	Seller
Broker	Agent
Other: Other: