Self-Reporting to ASHA Standards and Ethics

Online Self-Report Form

What is Self-Reporting?

Self-reporting is proactively and deliberately disclosing receipt of professional discipline/licensure actions or criminal convictions to ASHA Standards and Ethics in accordance with the Code of Ethics (Principle VI, Rules S and T) and the Assistants Code of Conduct (Principle III, Conduct Fundamentals O and P).

Who Should Self-Report?

Individuals required to disclose these circumstances are

  • ASHA members,
  • ASHA Certificate of Clinical Competence (CCC) holders,
  • certified assistants who hold the ASHA C-AA or C-SLPA, and
  • applicants for certification.

When Should You Self-Report?

Individuals have a 30-day window from the date of the final action, conviction, or disposition to self-report this information to ASHA Standards and Ethics. Waiting until you renew your certification might result in an ethics/conduct violation if it falls outside the 30 days. Civil actions don’t need to be reported.

Ultimately, it’s always better to report a conviction or licensing action. Court records and licensing decisions are typically public information, which makes it likely that at some point ASHA will learn about the criminal or licensing action taken against you.

How to Self-Report

Submit a Self-Report Form [PDF], making sure that form is complete and that you’ve included certified copies of your court or board disposition records, even if your documents are available online.

For criminal convictions, ASHA requires a certified copy of the conviction, no-contest report, or docket entry from the court. For licensing and regulatory decisions, ASHA requires a certified copy of the final action, consent order, sanction, or disposition from the board or regulatory body.

Mail your form and certified documents together in an envelope marked "Confidential" to:

ASHA Standards and Ethics
2200 Research Blvd., #309
Rockville, MD 20850

What Happens Next?

ASHA Ethics will review your submitted form and certified documents and determine if a complaint should be filed against you. If ASHA Ethics decides to move forward with a complaint, it will issue a Notice of Complaint and give you an opportunity to respond. After your response is received, the case will be forwarded to the Board of Ethics (BOE) for review.

If your disclosure results in a BOE complaint against you, your act of self-reporting shows the BOE that you are taking responsibility for your actions and acting ethically—both of which will be considered by the BOE during its adjudication process.

Questions on Self-Reporting?

For more information on self-reporting, you can review the Issues in Ethics Statement, Ethical Reporting or contact ASHA Ethics at

ASHA Corporate Partners