I wish to complain against the following individual(s):. Name(s):. PURPOSE: The purpose of this form is to assist you in filing a discrimination complaint.PURPOSE: The purpose of this form is to assist you in filing a discrimination complaint. Complete a Complaint of Discrimination Form GA GEN 1179. Should you desire to complete your report in writing, you may mail or bring this form to the same address. All college policies and procedures are recorded in the Colleges Procedures Handbook. 7. Your complaint must be filed within 180 days of the discriminatory action. To Plaintiffs and Others Filing First Papers. Discrimination complaint form and information on the complaint process. 2. A copy of the recipient's instructions to the public regarding how to file a Title VI discrimination complaint, including a copy of the complaint form.