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.NJ FamilyCare - New Jersey's publicly funded health insurance program - includes CHIP, Medicaid and Medicaid expansion populations. We are a group of compassionate, passionate, and professional individuals who believe that wholeness and recovery are possible. 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. Discrimination means to act based on a preference or prejudice. Lots of people need help to turn in or fill out their ballots. We support everyone's right to get help with voting. USDA prohibits discrimination against its customers.