1. All employees and applicants for employment should promptly report suspected violations of the. Please complete this form to make a report of discrimination.You can make this report whether or not you wish to be involved in an official complaint. No form of harassment or discrimination, whether directed at employees, patients or others, will be tolerated. 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. Sexual Harassment Complaints. Age, race, or gender discrimination. Medical malpractice. On March 6, 2007, the Middlesex Sheriffs Office received the Complainant's charge alleging disability discrimination filed with the Commission. We can provide you with guidance on how to fill out forms.