Office of the State Commissioner for Persons with Disabilities
Online Complaint Registration Form
Date
Select District
-- Select District --
Adilabad
Bhadradri Kothagudem
Hyderabad
Jagtial
Jangaon
Jayashankar Bhupalpally
Jogulamba Gadwal
Kamareddy
Karimnagar
Khammam
Komaram Bheem Asifabad
Mahabubabad
Mahabubnagar
Mancherial
Medak
Medchal–Malkajgiri
Mulugu
Nagarkurnool
Nalgonda
Nirmal
Nizamabad
Peddapalli
Rajanna Sircilla
Rangareddy
Sangareddy
Siddipet
Suryapet
Vikarabad
Wanaparthy
Warangal Rural
Warangal Urban
Yadadri Bhuvanagiri
Name of the Applicant (Include Surname)
Age
Select Gender
--Select--
Male
Female
Other
Address for Communication (Present)
Address for Communication (Correspondence)
Mobile
Type of Disability
-- Select --
Mental Illness
Autism Spectrum Disorder
Cerebral Palsy
Muscular Dystrophy
Chronic Neurological conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and Language disability
Thalassemia
Hemophilia
Sickle Cell disease
Multiple Disabilities including deafblindness
Acid Attack victim
Parkinson's disease
Disability Certificate Number
Percentage of Disability
Disability Certificate Proof (Upload)
Issuing Authority
Valid Up To
W/o, S/o, D/o
Complaint Description
Supplementary Attachment
Respondent Name
Respondent Address
Submit Complaint
