Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LACYD Harassment Complaint Form
For more information about harassment prohibited by LACYD, please read our full policy at
lacyd.org/harassment-policy
Sign in to Google
to save your progress.
Learn more
Your name (optional):
Please note: if an anonymous claim is submitted, the person about whom the claim is filed is only subject to Tier 2 disciplinary action. You can read our full policy at
lacyd.org/harassment-policy
Your answer
Name of LACYD Member(s) about whom this claim is filed:
Your answer
Name(s) of any witnesses:
Your answer
Please describe the incident in as much detail as you are comfortable sharing:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
