You may print the Civil Rights form, complete it, and send it directly to the US Department of Health and Human Services Office of Civil Rights. Your complaint must be filed within 180 days of the discriminatory action.This information packet is designed to help you file an employment discrimination lawsuit in federal court without the help of a trained and licensed attorney. First, choose the consumer complaint form that fits your problem. PURPOSE: The purpose of this form is to assist you in filing a discrimination complaint. Sign complaint in the space below. Attach any additional documents that you believe support your complaint. Complete an online Mecklenburg County Health Complaints form. Form Approved: OMB No. 0990-0269. See OMB Statement on Reverse.