Office of the State Commissioner for Persons with Disabilities
Online Complaint Registration Form
Date
Date is required.
Select District
Select
ADILABAD
KUMARAMBHEEM-ASIFABAD
MANCHERIAL
NIRMAL
NIZAMABAD
JAGITYAL
PEDDAPALLI
JAYASHANKAR-BHUPALAPALLI
BHADRADRI-KOTHAGUDEM
MAHABUBABAD
WARANGAL
HANUMAKONDA
KARIMNAGAR
RAJANNA-SIRICILLA
KAMAREDDY
SANGAREDDY
MEDAK
SIDDIPET
JANGAON
YADADRI-BHUVANGIRI
MEDCHAL - MALKAJIGIRI
HYDERABAD
RANGAREDDY
VIKARABAD
MAHABUBNAGAR
JOGULAMBA-GADWAL
WANAPARTHY
NAGARKURNOOL
NALGONDA
SURYAPET
KHAMMAM
MULUGU
NARAYANPET
District is required.
Name of Applicant
Name is required.
Age
Age is required.
Gender
--Select--
Male
Female
Other
Gender is required.
Address for Communication (Present)
Present Address is required.
Address for Communication (Correspondence)
Correspondence Address is required.
Mobile
Mobile number is required.
Enter valid 10-digit 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
Parkinsons disease
DisabilityType is required.
Disability Certificate Number
CertificateNo is required.
Percentage of Disability
Percentage is required.
Disability Certificate Proof (Upload)
Certificate is required.
Only JPG, PNG or PDF files are allowed.
Issuing Authority
IssuingAuthority is required.
Valid Upto
ValidUpto is required.
W/o, S/o, D/o
Relation is required.
Complaint Description
Description is required.
Supplementary Attachment
Attachment is required.
Only JPG, PNG or PDF files are allowed.
Respondent Name
Respondent Name is required.
Respondent Address
Respondent Address is required.