This information packet is designed to help you file an employment discrimination lawsuit in federal court without the help of a trained and licensed attorney. Discrimination Complaint Form.Instructions: Please fill out this form completely, in black ink or type. In your complaint, explain in as much detail as possible, how you were discriminated against. Include all relevant names and dates. Please submit this form in person, via postal mail, or via email to the Title VI Coordinator at the address below. Note: The following information is necessary to assist us in processing your complaint. The Office of Equal Opportunity and Affirmative Action will review all complaints filed with our office. Employment Discrimination Complaint Form. This is a Utah form and can be use in District Court Federal.