You have the right to an education free of discrimination or harassment based on your placement in a protected class. 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.Learn how to file a discrimination complaint with the U.S. Department of Education's Office for Civil Rights. A State complaint is a written, signed statement of an allegation that a local or State educational agency (e.g. Civil Rights Complaint of Discrimination Statement. The purpose of this article is to create a mechanism to eliminate and prevent discrimination from playing any role in actions that occur within Suffolk County. Section 504 of The Rehabilitation Act requires public schools to offer services and accommodations for eligible students with disabilities. 1) Please fill out the complaint form, answering all of the questions. Home - The Central Islip Union Free School District serves 9000 school aged students in the Central Islip and Islandia Communities in Suffolk County, NY. Laws, regulations, cases and web sources on the law of drafting a complaint in the state.