This form specifies the benefits you provide to workers. You are required to submit verification documents to receive credit for any benefits you provide.How to Complete the Formal Discrimination Complaint Form. When someone files a discrimination complaint, CRD evaluates the facts and decides whether to accept the case for investigation. For certain specific non-emergencies you may use this form. For general Police related information and non-emergencies: 408-277-8900 Field 1: Fill in the county in which the action is brought. Be consistent with other forms. When filing a lawsuit in California, the original complaint may be either verified or unverified. Necessary for you to fill out a formal Discrimination Complaint Form (PER4002).