If a complaint has been referred to another agency and that agency acts on the complaint and reports the final outcome to the ombudsman program, code in the. All Ombudsman services are provided for free and all complaints are confidential.Who Can Get These Services. LONG-TERM CARE OMBUDSMAN COMPLAINT FORM. For these complaints, please contact the San José Code Enforcement Division at (408) 535-7770. Provide a written statement outlining the allegations in detail. Explain why you believe the discrimination occurred because of the protected. Airline Name: Flight Number: Date: In order for your complaint to be considered complete, you must file within 180 days of the alleged act of discrimination. When filing a lawsuit in California, the original complaint may be either verified or unverified. The Ombudsman's Office investigated all complaints and referred serious cases of abuse to the public prosecutor.