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.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. Instructions. To file a complaint with the Commission on Human Rights: 1) Please fill out this form, answering all of the questions. 1) Please fill out this form, answering all of the questions. If you are filling out the form on a computer, please print out the form when you are finished. Check the reason you believe was the cause you were being discriminated against. The New York State Division of Human Rights only handles matters related to unlawful discrimination. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. The harassment must be based on a protected characteristic.