The act of discrimination must have occurred no more than 150 days prior to the date of filing. Sample Complaint Form.Please write a concise but detailed statement summarizing the alleged act(s) of discrimination and why you believe it is discrimination. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. Elected officials and employees should consult with the AIG if they take any action to inquire about the availability of a job, including. Compare the best Employment Discrimination lawyers near Cuyahoga Falls, OH today. The case manager or applicant must document on the JFS 13188 or JFS 13186 which specific elements of eligibility are being attested (e.g. • Employee must miss more than seven (7) calendar days of work;. • Employee must fill out a county accident report in accordance with Section 12.02 of this. A charge of discrimination is a signed statement asserting that an employer, union or labor organization engaged in employment discrimination.