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. If you need help or have questions about this form, please talk with your school's SHP Liaison or RFA Liaison.Your Name (person filling out this form):. 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. This guide describes what school discrimination looks and how you can file a complaint of school discrimination with the Division of Human Rights. Complete this form to make a report of discrimination. You can make this report whether or not you wish to be involved in an official complaint. The Dignity Act seeks to provide the State's public elementary and secondary school students with a safe and supportive environment free from discrimination. Your complaint must be filed within 180 days of the discriminatory action.