Report an Incident of Sexual Assault or Harassment to Ed Lee Dem Club
Your privacy is of the utmost importance to us. The contents of this form will be reviewed only by the leadership of the Edwin M. Lee Asian Pacific Democratic Club (ELDC). ELDC will determine whether the details provided in the report constitute a violation of our Code of Conduct. We will respond to you shortly after receiving your submission to inform you of the next steps.If you prefer to speak with us directly, you may also email us at info@edleedems.org. Thank you for your courage in helping keep our community safe.
Reporter Information
Email
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Name
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First Name
Last Name
Your phone number
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Please enter a valid phone number.
Format: (000) 000-0000.
Date
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Month
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Day
Year
Date
Incident Details
Date of Incident
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Month
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Day
Year
Date
Location of Incident
Name of Event
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Name of Individual(s) involved
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Description of Misconduct
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Prior Communication and Witnesses
Have you addressed the issue with the person(s) involved?
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Yes
No
If yes, please describe the outcome:
Are there any witnesses?
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Yes
No
If yes, please list their names and contact information:
Supporting Evidence
Is there supporting evidence (emails, texts, documents, camera footage etc.)?
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Yes
No
If yes, please describe or attach:
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Desired Outcome and Affiliations
What outcome would you like to see as a result of this report?
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Are you a member of any Democratic Clubs? If so, which ones?
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