When completing this form, please print legibly. Please do not write on the reverse side of the page.What discriminatory act(s) (personal harm) occurred against you? The Broward County EEO Complaint Form is designed for individuals to report incidents of discrimination or harassment in the workplace. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. INSTRUCTIONS: Please print or type all information. The application must be filled out accurately and completely. Please be as specific as possible. Employees wishing to report violations of Equal Employment Opportunity may submit an EEO Complaint Form. Employers are liable for errors in the completion of this form.