You may file a complaint using either the Client Discrimination Complaint (J-020) form or you may write or type your own statement. Discrimination Complaint Form.2. What do you believe is the basis for the discrimination you describe in this complaint? A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. If you believe you were denied services, access, or excluded from an activity or program, please complete the following form. An employee may use this form to file a discrimination complaint if the employee believes the employer has retaliated against the employee. Complaint Information. Please provide a short summary of your discrimination complaint below. STEP 1: USING BLACK INK ONLY, Fill out the "Civil Cover Sheet. " â–« Write in "Maricopa" as the county.