Please indicate the basis of your complaint: Date and place of alleged discriminatory action (s). Office for Civil Rights Discrimination Complaint Form.The HHSC Civil Rights Office must receive the complaint of discrimination within 180 days of the date the alleged discriminatory action took place. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. The ADA provides an important tool to fight discrimination: filing a complaint with an appropriate federal agency. This page outlines the steps to do so. A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. You can also complete and submit an Americans with Disabilities Act Discrimination Complaint Form. You can call toll-free 1 . The TWC does not have a pre-printed paper form for employment discrimination complaints.