Complete this form to make a report of discrimination. You can make this report whether or not you wish to be involved in an official complaint.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. The name, address, email, and telephone number of the employer (or employment agency or union) you want to file your charge against. For more information on how to report discrimination, how to file a complaint, or about the complaint process, call 311 or (212) 416-0197. Please complete this form to file a complaint with the Inspector General's Office. Complaint - Employment Discrimination PDF1.04 MB. PURPOSE: The purpose of this form is to assist you in filing a discrimination complaint. Call 800-544-0484 or complete our online contact form to get started. Filing a formal charge of employment discrimination is a serious matter.