Complaint • Columbus DSA

File A Complaint or Grievance.

Please use this form to file a complaint or lodge a grievance.
Your issue will be received and reviewed by the chapter Harassment & Grievance delegates, in accordance with chapter policies.

Your Information
Name
First Last
You may leave this blank and your grievance will be submitted anonymously.
Preferred Pronouns
Custom Pronouns
Phone Number
Email Address*
Enter Email Confirm Email
Address*
City State
Their Information
Accused*
Person(s) (up to five names separated by commas) or DSA body (Steering Committee, Caucus, etc) against whom you are filing a grievance, or put "anonymous/unknown."
Witnesses*
Persons (up to five names, separated by commas, of people with direct knowledge of the facts relating to your grievance)
Do you authorize contact with these witnesses?*
- Yes
- No
Complaint*
Tell us about what happened. Please be as specific as possible, including the Who, What, Where, Why, and How of what happened. Remember that DSA is committed to creating a space that is welcoming and inclusive to members of all genders, races, and classes: why did that not happen in the situation you have described? Please try to be concise -- if you have additional documents to submit, you will be asked when speaking with the chapter harassment grievance officers (HGOs) to submit them at that time.
Comments
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File A Complaint or Grievance.

Your Information

Their Information