Lodge a Complaint
Fill out the form below to submit your complaint.
ଓଡ଼ିଆ
1. Details of Complainant
Name
Address
State
Select State
District
Select District
Pincode
Email
Mobile No.
Sex
Select Gender
2. Details of Victim
Is the complainant the victim?
3. Details of Respondent (Opposite party)
Name
Address
State
Select State
District
Select District
Pincode
Email
Mobile No.
Sex
Select Gender
4. Details of Complaint
Category of Complaint
Select Category
Department of the Respondent (if applicable)
Date of Incident
Pick a date
Is your case pending before any court?
Yes
No
Is your case pending before any State Commission for Women?
Yes
No
5. Complete Details of the Incident
5. Complete Details of the Incident
Location of Incident
Drag the marker to the exact location or use the button to find your current location.
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Submit Complaint