Complaint / Grievance Details

Type of Complaint / Grievance * (Select all that apply)
Human Rights ViolationCrime / Anti-Social ActivityCorruptionPolice / Authority MisconductDiscriminationInjustice to Women/Children/ElderlyOther

If Other, please specify:

Full Name of Complainant / Victim *

Mobile Number *

Email ID *

Address *
Full address including House No., Street, Village, Mandal, District, State, Pin Code

Incident Location (if different from above)
Place where the incident occurred (Village/Town, District, State)

Date of Incident *

Time of Incident (if known)
[time incident-time]

Description of the Incident / Grievance *

Provide full details of what happened, who is involved (names if known), how it affected you/others, any witnesses, etc. Be as detailed as possible.

Details of Accused / Responsible Party (if known)

Names, designation, address or description of person(s)/organization responsible. Leave blank if unknown.

Evidence / Supporting Documents (Optional but recommended)

Upload Photo / Proof (Max 5MB)

Upload Document / FIR / Evidence (PDF/JPG, Max 5MB)

Upload Any Other File (Max 5MB)

Declaration and Consent *

1. I declare that the information provided above is true and correct to the best of my knowledge.

2. I have not concealed any facts and understand that false information may lead to rejection of my complaint and possible legal action.

3. I authorize HRACA to use this information for investigation, reporting to authorities, or taking necessary action in line with human rights and anti-crime objectives.

4. I understand that HRACA may share details with relevant police, government bodies, or agencies for redressal.

Note: After submission, our team will review and contact you. For urgent cases (threat to life/safety), contact police immediately (100) or call HRACA at +91-9441293705.