Dear Ms. Bobblehead: Please allow this letter to serve as my complaint of discrimination against the U.S. Army. A blank form you can use to write out your petition is attached.Also attached is a sample that may be used as a guide. Complete this form to report a discrimination complaint. (Customers should complete the form whenever possible. A description of why you believe you were discriminated against, such as because of your race, ethnicity, sex, age, disability, pregnancy, or other reasons. If you have been subjected to unlawful discrimination, harassment, or retaliation, please complete and submit a complaint form. Please fill out this form completely, in black ink or type. Sign and return to the address below: Name of person making this complaint: Address: City. State. If you have been subjected to unlawful discrimination, harassment, or retaliation, please complete and submit a complaint form.