• Greater Baltimore DSA Grievance Form

  • According to Resolution 33 adopted by DSA,

    Members shall not engage in harassment on the basis of sex, gender, gender identity or expression, sexual orientation, physical appearance, disability, race, color, religion, national origin, class, age, or profession. Harassing or abusive behavior, such as unwelcome attention, inappropriate or offensive remarks, slurs, or jokes, physical or verbal intimidation, stalking, inappropriate physical contact or proximity, and other verbal and physical conduct constitute harassment when:

    • Submission to such conduct is made either explicitly or implicitly a term or condition of a member 's continued affiliation with DSA; or
    • Submission or rejection of such conduct by an individual is used as the basis for organizational decisions affecting such individual; or
    • Such conduct has the purpose or effect of creating a hostile environment interfering with an individual's capacity to organize within DSA.

    Resolution 33 also prohibits retaliation against a person who assists someone with a complaint of harassment, or participates in any manner in an investigation or resolution of a complaint of discrimination or harassment. Retaliatory behaviors includes threats, intimidation, reprisals, and/or adverse actions related to organizing. DSA's Harassment Policy is found at Harassment Policy (Resolution 33) - Democratic Socialists of America (DSA) (dsausa.org).

    Hit SUBMIT when you have completed the form. Any further questions or documentation may be emailed to hgo@gbdsa.org.

    This form will be reviewed by the GBDSA Steering Committee and will be kept confidential unless you authorize contact with the individuals or witnesses you name.

    The GBDSA Harassment and Grievance Officer (HGO) will contact you within seven business days to obtain any additional information and/or discuss with you the grievance process, so that you may determine whether you choose to move forward with the processing of a formal grievance.

  • Greater Baltimore DSA Grievance Form

  • Format: (000) 000-0000.
  • Tell us about what happened. Please be as specific as possible, including the who, what, where, why, when, and how. If you have additional documents to submit, you will be asked when speaking with HGO to submit them at that time.

  • Greater Baltimore DSA Grievance Form

  • Why I believe this to be harassment (check all that apply):*
  • The type(s) of conduct I experienced was (check all that apply):*
  • How I was impacted/caused harm by the conduct (check all that apply):*
  • How I would like my harassment grievance to be resolved (check all that apply):*
  • These are the remedies authorized by Resolution 33. While some or all of these remedies may not be appropriate in your situation, depending on the outcome of the investigation, this will assist the HGOs in developing a satisfactory remedy for the fear of harassment, abuse, or harm.

  • Greater Baltimore DSA Grievance Form

  • Today's Date:*
     - -
  • Should be Empty: