A complaint must ordinarily be filed within 180 days of the last act of discrimination. 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.Explain as clearly as possible what happened, why you believe it happened, and how you were discriminated against. 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. The student should first fill out the Harris grade appeal form. The Department of Health and Human Services (HHS) is providing ongoing trainings on antidiscrimination laws to medical students nationwide. Online: You can now submit your complaint directly through the Program Discrimination Complaint Portal for a quick and secure filing process. Retaliation against anyone involved in the complaint pro- cess is a violation of Department policy. Printed copies of this document are uncontrolled.