I confirm that the information in this Claim report is true to the best of my knowledge and I understand that a copy of this Claim report will be provided to the Respondent and may be provided to an ITSO Director for
mediation, the Arbitration Committee, and the REALTORS® Association(s) that I and the Respondent belong to.
I acknowledge and agree to have this claim resolved following the ITSO Arbitration Policy, which forms a
binding arbitration agreement between my brokerage and the Respondent. I agree to abide by the decisions of the arbitrators.
I understand that information in this Claim report and the supporting documents, as well as any additional
information that ITSO collects during this process, may include personal information as defined in the Personal Information and Protection of Electronic Documents Act. I consent to the collection, use and disclosure of my personal information for ITSO to process this claim and take any other action that is deemed necessary for enforcement of the ITSO Arbitration Policy.