Note: We are asking for the following information to assist us in processing your complaint. If you need help in completing this form, please let us know.You will also be asked to provide documents necessary to complete the review of your complaint. Please submit this form to Palm Tran – Attention: Customer Service Administrator. Discrimination Complaint. Subjected to discrimination under Title VI, on the basis of race, color, or national origin, may file a written complaint with the TPA. These forms can be printed and manually populated or filled out using Acrobat Reader online and then printed. A complaint of employment discrimination, public accommodations discrimination, or whistle-blower retaliation may be filed online. Either the OCR or the Civil Rights Center will answer any questions a potential complainant has about complaint filing and investigation. Participate equally in and benefit from courses, programs, services and activities offered through Palm Beach State College.