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Case monitoring format page [1] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [2] 
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? 
Contact +91.80.88506595; training@openspace.org.in 
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
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 ... 
Case monitoring format page [3] 
Contact +91.80.88506595; training@openspace.org.in 
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
Case monitoring format page [4] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [5] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [6] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [7] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [8] 
Contact +91.80.88506595; training@openspace.org.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
Case monitoring format page [9] 
Contact +91.80.88506595; training@openspace.org.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

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SC/ST (PoA) Case monitoring formats

  • 1. Case monitoring format page [1] Contact +91.80.88506595; training@openspace.org.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] 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? Contact +91.80.88506595; training@openspace.org.in 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 follow up: Support to Victims and Witnesses (at least once a week) year: Name of victim/Witness Victim-survivor/witness 1 V-S/W2 ... Case monitoring format page [3] Contact +91.80.88506595; training@openspace.org.in 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] Contact +91.80.88506595; training@openspace.org.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] Contact +91.80.88506595; training@openspace.org.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] Contact +91.80.88506595; training@openspace.org.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] Contact +91.80.88506595; training@openspace.org.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] Contact +91.80.88506595; training@openspace.org.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] Contact +91.80.88506595; training@openspace.org.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