7. Basis of alleged discrimination: Check ONLY the boxes that you believe were the reasons for discrimination and fill in specifics only for those reasons. 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 is a signed statement asserting that an employer, union or labor organization engaged in employment discrimination. This pamphlet is intended to provide Employers and Employees with general information about their employment rights and responsibilities in New York State. The NYC anti-discrimination law covers employees, independent contractors, interns, and job applicants. Article 23-A requires employers to evaluate qualified job seekers and current employees with conviction histories fairly and on a case-by-case basis. Age discrimination involves treating an applicant or employee less favorably because of his or her age. The applicant can fill out the form easily. Most employers in New York City are not allowed to deny you a job, suspend you, or fire you because of your pending arrest or criminal conviction.