Internal Complaints Alleging Discrimination in the Workplace (Model Procedures) on Page 2 of this form. A Charge of Discrimination can be completed through our online system after you submit an online inquiry and we interview you.Call - Smith Eibeler, LLC is dedicated to serving our clients with a range of legal services including Discrimination and Harassment cases. 7. Basis of alleged discrimination: Check ONLY the boxes that you believe were the reasons for discrimination and fill in specifics only for those reasons. You Have the Right to Be Free From Unlawful Discrimination at Work. A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. This means that all employees are entitled to work in an environment that is free of harassment, bullying and discrimination. Age, race, or gender discrimination. Medical malpractice. Discrimination Claims.