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. File Workplace Complaint.To file a complaint or to request a referral, please fill out this form and an OLPS representative will contact you. Enter as much information as you can regarding the primary person or company involved in the complaint. New York Employee Complaint Form. Utilize the Employee Complaint Form to officially submit a complaint to the HR department. Instructions for Completing Complaint Form. Visit our website and download a complaint form. Forms ; Summons extra caption. PDF ; Complaint sample.