The declaration option does not require notarization; you need only fill in the blanks with the date and your location (city, state), and sign the declaration. The Division of Human Rights complaint form is available at the below link.You may use this form to file and submit your complaint online. Address: City, State, Zip Code. The Discrimination form should be completed before the complaint process can begin. Discrimination Complaint Form and Procedures (English and Spanish). Accessibility. Discrimination Complaint Form. Completing this form does not constitute filing an official complaint with a legal authority. Person(s) wishing to appeal their grievance to Level 2 must complete the "Level 2 Grievance" section of the. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you.