Use this form to file a complaint if you experienced housing discrimination. The declaration option does not require notarization; you need only fill in the blanks with the date and your location (city, state), and sign the declaration.Please complete the following Suffolk County Discrimination Complaint Form. Remember to sign and date the form. A Charge of Discrimination can be completed through our online system after you submit an online inquiry and we interview you. Should you file a workplace discrimination claim? We can help you every step of the way. A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. The purpose of this article is to create a mechanism to eliminate and prevent discrimination from playing any role in actions that occur within Suffolk County. Birth certificate indicating that person was born in the United States;.