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. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. In cases against private employers and state and local government employers, age must be a but-for cause of the adverse employment action. How To Ask For A Temporary Retraining Order (TRO) ; 39. Affidavit in Support of a Temporary Restraining Order in a Civil Action. A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. To win a discrimination lawsuit under state law, we will need to show:. Discrimination in the workplace is unfortunately not uncommon.