If you feel you have experienced illegal employment discrimination, fill out the intake questionnaire and email or mail it to the PHRC. The purpose of this form is to assist you in filing a discrimination complaint with the.Explain as briefly and clearly as possible what happened and how you were discriminated against. Indicate who was involved. Please explain your complaint including the details such as date, time and location. Describe the events in the order in which they happened. The Unified Judicial System's Policy on Non-Discrimination and Equal Employment Opportunity can be located here. You must personally contact that agency and file the appropriate paperwork within 180 days of the alleged act of harm. 2. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. Gov or mail it to your closest regional office.