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 Division of Human Rights complaint form is available at the below link.You may use this form to file and submit your complaint online. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. Should you require any assistance to complete this form, please contact 631-852-4010. Suffolk County Request for Reasonable Accommodation forms and will assist the individual, where necessary, in completing the form. Should you file a workplace discrimination claim? We can help you every step of the way. Employers can discriminate on age, disability, race, sexual orientation, national origin, pregnancy, religion and gender. Please Complete the form.