You can submit your complaint online with the Employment Discrimination Complaint Form. It provides an ample amount of space to describe how you have been discriminated against.Name of Employer (Please be sure to give the complete Company name and address where you physically worked). 15 or more employees: Yes No. Company Address. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. How to File with the TWCCRD. A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. Feel free to complete the form below if you believe you were discriminated against for any of the reasons listed above. Employment Discrimination Complaint Form. Explain as clearly as possible what happened and why you believe your protected status (basis) was a factor in the discrimination.