This form may be used to request your custody, visitation, support, or guardianship petition be withdrawn. Intheblanks form required for any matter originating and electronically filed in Supreme or Surrogate's Courts in Richmond County.If you choose the first or second option, a consent to change attorney, or an order of the court removing the attorney must already be e-filed in the case. 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. Case number, division, and the parties' names. A. Account Information. Fill out the complaint form, answering all of the questions completely. Other spaces are for Court use. Probably be sent to you in the pro se packet, but in case it is not, use the following example.