Should you require any assistance to complete this form, please contact . Section II: Accessible Format Requirements?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. Are you filing this complaint on your own behalf? 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. Sign and date the form in the presence of a Notary or Court Clerk. Include the name and contact information of any person(s) who discriminated against you (if known), as well as names and contact information for any witnesses. 2) After you fill out the form, please have this complaint form notarized (see Page 9). Standard Operating Procedure A-18B, Discrimination, Sexual Harassment and Civil Rights.