You may print the Civil Rights form, complete it, and send it directly to the US Department of Health and Human Services Office of Civil Rights. Title VII prohibits employment discrimination based on race, color, religion, sex and national origin.If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. But, again, not signing this form could mean CPS will go to court. Complete our secure form to talk to a lawyer. The packet available in the SelfServe Center allows a party to file for permanent legal custody of a child or for visitation rights. Emergency Protective Order. Step 1: Fill out required paper- work at the Magistrate's office. You may fill them out at home or at the courthouse.