VERIFIED COMPLAINT: FORM UD-2. Field 1: Fill in the county in which the action is brought.Complaint sample. PDF. Complaint fill in. PDF. To start the process of reporting discrimination, please call 311 or (212) 416-0197 and ask for the NYC Commission on Human Rights or send us an inquiry. If you wish to submit your complaint form via US mail, please complete, print and sign the Printable Complaint Form and submit it to: This form is a sample complaint under the New York Consolidated Laws, Civil Practice Law and Rules (CPLR). Please complete this form. Clearly print or type your answers to each question. It is important that you attempt to resolve your complaint with the company before filing with the Division of Consumer Protection (DCP).