Online Harassment/Grievance form
First Name *
Last Name *
Email *
Address
Phone number
Name of the Accused (must be a member of DSA) *
PLEASE STATE BELOW, WITH AS MUCH DETAIL AS POSSIBLE, THE NATURE OF YOUR COMPLAINT AND ANY FACTS YOU DEEM RELEVANT TO SUPPORT IT. PLEASE INCLUDE THE NAMES OF ANY THIRD PARTIES WITH DIRECT KNOWLEDGE OF THE ALLEGATIONS, INCLUDING ANY CONTACT INFORMATION FOR THOSE THIRD PARTIES. *
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