GRIEVANCE/COMPLAINT FORM

Weld County Democratic Party (WCDP) is committed to maintaining an inclusive environment by encouraging open communications and fostering good working relationships among its members. WCDP facilitates such an environment with policy guidance from our Code of Conduct, including a Grievance/ Complaint Form to report incidents. The Code of Conduct encourages appropriate behavior and considers intolerable behavior, including discrimination and sexual harassment.

If you have experienced conduct that violates the WCDP Code of Conduct, you are encouraged to attach your detailed answers to the questions below and return to WCDP Chair as soon as possible. Please submit this information to the current County Chair, Beverly Wallace, bwdonkeypower@gmail.com. WCDP prefers to not accept anonymous complaints.

You will not face retaliation for filing a complaint.

Please complete the form below with as much information as possible.

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Please describe the nature of your complaint in detail.(Required)

What individual or individuals are involved in this complaint? Please provide as much information as possible for any individual involved.(Required)

Please include; Name, Address, Phone, Email

Date of Incident(Required)

Time of Incidenet(Required)

:

Location of Incident(Required)

Please provide information for all witnesses or individuals who may have information about your complaint.(Required)

Please provide; Name, Address, Phone, Email

Do you have any suggestions for resolving this complaint? If so, please explain.

Anything else you would like us to know?

Name

This field is for validation purposes and should be left unchanged.

GRIEVANCE/COMPLAINT FORM

Please complete the form below with as much information as possible.

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