SC/ST PoA Act: Case monitoring formats

1. Case monitoring format page [1]
Ph.044-2235 3503 email: contact@hrf.net.in
Case Details
1. Case Number:
2. Name of DHRD monitoring the case:
1 Case Description
1. Place of incidence (Village/town, District, State)
2. Date of incidence
3. Type of atrocity
4. Number of victims: Male _____ Female ______ Community________
5. Witnesses: Male _____ Female ______ Community________
6. No of accused: Male _____ Female ______Community________
7. Brief details of the case
2 Details of Action taken
1. Whether any action taken (Yes/No):
2. What action was taken and by whom (it may include all kind of actions taken by respective
department, community, police etc.)
3. Date of Spot visit by SP and DM [12(1)]
4. Name of Superintendent of Police (SP)
5. Name of District Magistrate (DM)
6. Name of investigating officer appointed by SP [12(3)]
7. Got report of SP [12(7), 6(2)] [Yes/No]
3 FIR
1. Did the SP get the FIR registered? [12(2)]
2. Whether FIR registered
3. If FIR not registered, why:
4. Date of FIR
5. Police station
6. POA sections
7. PCRA sections
8. IPC sections
9. Any missing POA sections
10. Name of the officer writing FIR

2. Case monitoring format page [2]
Ph.044-2235 3503 email: contact@hrf.net.in
4 FIR Complaint (if FIR was not filed)
1. Date on which complaint sent to SP
2. Date on which SP ordered the FIR to be filed
3. What action was taken on the officer who refused to file the FIR?
5 Counter case
1. Whether counter case filed: Yes /No.
2. If yes, Date
3. Case No.
4. Police Officer
5. Police station
6 Charge sheet
1. Date of charge sheet
2. Case charge sheet no.:
3. Number of accused Total______ Male _______ Female__________
7 Court
1. Type of court
2. Name of public prosecutor:
3. Name of Judge:
4. Number of witnesses called: Total______ Male _______ Female__________
5. Number of witnesses hostile: Total______ Male _______ Female__________
6. Number of victims turned hostile: Total______ Male _______ Female__________
7. Number convicted: Total______ Male _______ Female__________
8. Date of trial start
9. Date of judgment:
8 Compensation received:
Immediate Interim Final Total
Rupees
Material
9 Other remarks

3. Case monitoring format page [3]
Ph.044-2235 3503 email: contact@hrf.net.in
Case follow up: Support to Victims and Witnesses (at least once a week) year:
Name of victim/Witness Victim-survivor/witness 1 V-S/W2 ...
Mobile number
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 13
Week 14
Week 15
Week 16
Week 17
Week 18
Week 19
Week 20
Week 21
Week 22
Week 23
Week 24
Week 25
Week 26
Week 27
Week 28
Week 29
Week 30
Week 31
Week 32
Week 33
Week 34
Week 35
Week 36
Week 37
Week 38
Week 39
Week 40
Week 41
Week 42
Week 43
Week 44
Week 45
Week 46
Week 47
Week 48
Week 49
Week 50
Week 51
Week 52
Total visits

4. Case monitoring format page [4]
Ph.044-2235 3503 email: contact@hrf.net.in
FIR Compensation tracker: Loss of life and property
When due % due Amount due Date due Date received Amount received Remarks
1.1 Name of Victim-survivor/witness
1.2 Immediate relief
1.3 Installment 1
1.4 Installment 2
1.5 Installment 3
2.1 Name of Victim-survivor/witness
2.2 Immediate relief
2.3 Installment 1
2.4 Installment 2
2.5 Installment 3
3.1 Name of Victim-survivor/witness
3.2 Immediate relief
3.3 Installment 1
3.4 Installment 2
3.5 Installment 3
4.1 Name of Victim-survivor/witness
4.2 Immediate relief
4.3 Installment 1
4.4 Installment 2
4.5 Installment 3

5. Case monitoring format page [5]
Ph.044-2235 3503 email: contact@hrf.net.in
Reimbursement tracker (One sheet per victim-survivor or witness)
SL
Name of victim FIR No
investigation/ Court visit
date
Travel Allowance (TA) Dearness/Meal allowance
Delay
Amount due Amount received Date received Amount due Amount received Date received
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

6. Case monitoring format page [6]
Ph.044-2235 3503 email: contact@hrf.net.in
Case officials contact details
Sl
No
Name of
official
Designation M/F
SC/ ST/
OBC/ O
Caste/ Community Phone Email Address
How
connected to
the case
Remarks
Mobile Office Residence Official Personal

7. Case monitoring format page [7]
Ph.044-2235 3503 email: contact@hrf.net.in
DVMC contact details
Sl
No
Name of
member
Designation M/F
SC/ ST/
OBC/ O
Caste/
Community
Phone Email Address
How
connected
to the case
Remarks
Mobile Office Residence Official Personal

8. Case monitoring format page [8]
Ph.044-2235 3503 email: contact@hrf.net.in
SVMC contact details
Sl
No
Name of
member
Designation M/F
SC/ ST/
OBC/ O
Caste/ Community Phone Email Address
How
connected to
the case
Remarks
Mobile Office Residence Official Personal

9. Case monitoring format page [9]
Ph.044-2235 3503 email: contact@hrf.net.in
Advocacy tracking: Officials meetings (at least once a month; enter date)
sl Name of official Designation Mobile J F M A M J J A S O N D