DSA RVA Grievance Report
Our process will always be confidential, but is not yet finalized. Pending chapter approval, each case will be handled under the methods we have in place at the time of filing. If you would rather something be handled under finalized rules, please let us know and we will wait until the appropriate time to address your grievance.

Ultimately, we will be able to acknowledge receipt of each report within a week (although the actual determination of your report will require more time), but without a finalized procedure in place, we cannot currently guarantee a turnaround time.

Please note that filing a grievance with the chapter does not guarantee that national will make any particular findings or carry out remedies or penalties, although if necessary, we may forward the case to national for resolution. If you wish to file a grievance nationally, you may do so here: https://docs.google.com/forms/d/e/1FAIpQLSe4Ra7UifhPsSYvxMgE6TvBYzXf8OVyBuzt9byKyxYgUYXUEA/viewform

Reporting Member Name *
Please fill out your name. Please note: you can choose between providing an email, phone, or both. If you provide neither, your claim cannot be not processed.
Reporting Member Email Address
Reporting Member Phone Number
Type of Grievance *
Please specify if this Grievance is on behalf of a collective (2 or more individuals), someone else, or personal.
Grievance: Reporting Members
Please provide names and contacts for other reporting members if part of a collective grievance or on behalf of someone else.
Reported Member's Name *
Whose actions are you reporting?
Description of the Incident *
Please provide a detailed description of why you believe there has been a violation of DSA’s Harassment Policy, including the date(s) and location of the behavior you're reporting, a description of the incident(s), the names of individuals who may have information about the incident other than those filing the grievance, whether there is any relevant documentation, what resolution are you are seeking, and any other details you would like to provide to the GO.
Have any informal steps been taken to resolve the incident before this grievance was filed? *
Description of Informal Steps
Please describe what actions were taken to resolve the issue prior to filing this grievance.
Supporting Evidence
Attach any materials that will support your grievance (ex: screenshots).
Submit
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