This guide is intended to be a summary of basic procedures for filing a complaint. If you live in one of these areas and want to report how a business or employer discriminated against you, please fill out the complaint form below.You must file your complaint at the same EEO Office where you received counseling. The 15-day deadline for filing a complaint is calculated in calendar days. Open and fill out the Civil Rights Discrimination Complaint Form Package in PDF format. Patients may utilize this form or document their concerns in written format as they choose. 2. Receipt of Patient Complaint. Fill out the complaint form, answering all of the questions completely. How do I fill this out? To fill out the whistleblower complaint form, gather your personal information and any relevant documents related to the complaint.