To help us better serve the public, please provide the following information for the person you believe was discriminated against. How were you discriminated against?Describe the nature of the action, decision or conditions of the alleged discrimination. Complete the Americans with Disabilities Act (ADA) Discrimination Complaint Form (PDF) and submit a copy to the Office of Diversity and Equity. The name, address, email, and telephone number of the employer (or employment agency or union) you want to file your charge against. Customers or clients may file a complaint using the NC DSS Civil Rights Complaint Form. The purpose of this form is to assist you in filing a complaint of discrimination with the Governor's. The purpose of this form is to assist you in filing a complaint of discrimination with the Governor's. First, choose the consumer complaint form that fits your problem. Next, enter the information into the form and submit it electronically.