VegLife DM Harassment Report Form
If you or someone you know has experienced harassment or discrimination in a VegLife DM curated space (event, group, virtual, etc), we want to know. We have a zero tolerance policy for harassment of any kind.

Anonymous reporting happens when you do not disclose your name or the identities of the other parties involved, nor request any action. Depending of what information is shared, action by VegLife DM may be limited. The VegLife DM board will determine appropriate next steps as required by relevant laws and policies.

**All of the questions on this form are optional. Please answer what you are comfortable with.**
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Your name
Your contact information (phone or email)
Date when harassment occurred (to the best of your recollection)
Location where harassment occurred
On what ground are you making this complaint of discrimination/harassment
You will have an opportunity to tell us about multiple grounds in the next question. Select the primary grounds here.
Please add any additional grounds by which you're making this complaint (from the list above or something we haven't identified). If you selected Other above, please describe that here.
Please describe what occurred and any outcomes you experienced.
Please list the name(s) of the person(s) responsible for the alleged action(s)
Please list the names of any witnesses
What action would you like VegLife DM take/what is your desired outcome?
By e-signing this complaint form I affirm that, to the best of my knowledge, the information contained herein is true and factual while also establishing consent and release of the above information for the purposes of an investigation. I understand that the completion of this form does not extend the time for filing a complaint with an outside agency or in a court of law. Additionally, I understand that the effective date of filing this complaint is the date this form is electronically sent to VegLife Des Moines. I have not knowingly provided false or fraudulent information in this report. *
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