You may file a complaint using either the Client Discrimination Complaint (J-020) form or you may write or type your own statement. 2. What do you believe is the basis for the discrimination you describe in this complaint?An employee may use this form to file a discrimination complaint if the employee believes the employer has retaliated against the employee. Complaint Information. Please provide a short summary of your discrimination complaint below. The State Complaint Form is used to file a complaint against a state education agency in Arizona. The form requires information about the complainant. STEP 1: USING BLACK INK ONLY, Fill out the "Civil Cover Sheet. " ▫ Write in "Maricopa" as the county. Every state agency has a procedure to address employee complaints concerning harassment or discrimination and an employee within the agency.