Report an Incident of Sexual Assault or Harassment to the DCCC
Hello.

Your privacy is of the upmost importance to us. The contents of this form will be reviewed only by the DCCC Ombudsperson. The DCCC Ombudsperson will determine whether the details provided in the report, if accepted as true, constitute a violation of the Code of Conduct.

The Ombudsperson will respond to you shortly after receiving your submission, and will inform you of possible next steps. 

You may also email the Ombudsperson directly at ombuds@sfdems.org. 

Thank you for your courage. 

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Email *
Name *
Date of Incident *
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Name of Democratic Club involved in the incident (if relevant) *
Location of Incident, Name of Event (if possible) *
Name of Individual(s) involved *
Description of Misconduct 
[Please provide a detailed description of the incident, including any relevant context, actions taken, and the impact.] *
Have you addressed the issue with the person(s) involved? *
If yes, please describe the outcome:
[Provide details]
Are there any witnesses? *
If yes, please list their names and contact information:
[Witness names and contact info]
Is there supporting evidence (emails, texts, documents, camera footage etc.)? If yes, please describe or attach:
[Describe evidence] *
What outcome would you like to see as a result of this report? *
Are you a member of any Democratic Clubs? If so, which ones? *
Your phone number *
Signature *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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