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. Pdf 206.76 KB (Last Modified on January 18, 2021).Under Florida law, email addresses are public records. 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. 3. 4. Have your child participate in all school activities without discrimination solely on the basis of disability. A State complaint is a written, signed statement of an allegation that a local or State educational agency (e.g. Name: Address: Phone Number: Email Address. Cell Phone Number: Page 2. Your complaint must be filed within one hundred and eighty (180) days from the date of the alleged act of discrimination.