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 disengagement letter serves to make clear that a client has ceased to be a current client for conflict of interest analysis. Virtual appearances may be permitted in the court's discretion. Suffolk County Attorney. Once we have gathered sufficient information, we will draft a demand letter to the negligent party's insurance company. Special thanks to NLG Jailhouse Lawyer Vice President Mumia Abu-Jamal. You are getting Medical Assistance and you disagree with a local agency decision about enrollment in a Managed Care Plan.