Written Complaint to Police
Quarrel, threat, fraud or any incident
Sample details are filled in. Replace them with yours.
Date: 23-10-2026
To,
The Officer-in-Charge
Sadar Police Station, District Hazaribagh
Subject: Written complaint and request for appropriate legal action.
Sir,
I, Rajesh Yadav, son/daughter of Mr. Mahesh Yadav, resident of Ward No. 8, Korra, Hazaribagh, a resident of your police station area, wish to lodge a complaint about the following incident:
| Date and time | 18-10-2026, around 9 pm |
| Place | in front of my shop, Main Road |
| Accused | Mr. XYZ, resident of .......... |
Details of the incident: When I asked for repayment of money lent, the said person abused me and threatened to kill me. Several people of the locality were present at that time.
Witnesses:
- Mr. Ashok Prasad
- Mr. Sonu Kumar
My family and I are afraid because of this incident. I request you to register my complaint, investigate the matter, take appropriate legal action against the accused and provide me protection.
Thanking you.
Yours faithfully,
(Signature)
Rajesh Yadav
Father: Mr. Mahesh Yadav
Address: Ward No. 8, Korra, Hazaribagh
Mobile: 98XXXXXX61
Write the facts exactly as they happened. Take two copies and get an acknowledgement on one.