Complaint sample. PDF. Complaint fill in. PDF.In this post, we discuss the ERISA claim process, appealing your ERISA claim, filing an ERISA complaint, when to hire an attorney, and more. 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. This ERISA procedure describes the general procedures of the department in issuing information letters and advisory opinions under the Act. When you are finished, you can print your completed form. This pamphlet is intended to provide Employers and Employees with general information about their employment rights and responsibilities in New York State. A notice of claim must be filed in writing. A notice of claim must be filed in writing.