Harassment Complaint Form
Please fill out this form if you feel you are the victim of harassment. If this is an emergency, please call 911 or Utah’s statewide 24-hour Sexual Violence Hotline 1-888-421-1100.
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Date harassment occurred *
MM
/
DD
/
YYYY
Did the harassment occur at a Utah Democratic Party sanctioned event? *
Did the harassment occur by a member of Utah Democratic Party staff or leadership? *
Did the harassment occur by a Utah Democratic Party volunteer? *
Please describe the occurrence(s) *
Your answer
How to you prefer to be contacted? *
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