CITIZEN CONNECT

CITIZEN GRIEVANCE FORM

First Name *

Last Name *

Email *

Mobile Number *

Select Taluk *

Area / Village / Ward *

Select Issue *

Sub-category

Complaint Details *

📷 Upload Photo

Accepted formats: JPG, JPEG, PNG (Maximum 5 MB)

🎥 Upload Video

Accepted formats: MP4, MOV, AVI (Maximum 25 MB)

I confirm that the information provided above is accurate and complete to the best of my knowledge.

CITIZEN FEEDBACK FORM

Full Name *

Select Taluk *

Email Address

Mobile Number

Feedback Category *

Related Department / Service

Your Feedback *

I confirm that the information provided above is accurate and submitted voluntarily.

How It Works

Submit your concern and follow its progress through a simple and transparent citizen service process.

📝 01

Submit

Citizen submits a complaint, query or request through Citizen Connect.

🔍 02

Verification

The request is reviewed and verified for further processing.

🏢 03

Department Assignment

The request is forwarded to the concerned department.

⚙️ 04

Action

The concerned department takes appropriate action.

✅ 05

Resolution

The request is resolved and the citizen receives an appropriate update.

Important Citizen Contacts

Quick access to important services and assistance available for citizens across Shivamogga District.

📞

District Administration

District-level administrative assistance and citizen services.

📞 Call 1077

👮

Police

Public safety, law enforcement and emergency police assistance.

📞 Call 112

🚑

Medical Emergency

Emergency ambulance and urgent medical assistance.

📞 Call 108

🔥

Fire & Rescue

Fire emergencies, rescue operations and emergency assistance.

📞 Call 112

💧

Water Supply

Water supply complaints, interruptions and related assistance.

📞 Call 1800 123 4567 Sample number – replace with verified helpline

⚡

Electricity

Power supply complaints, outages and electrical service assistance.

📞 Call 1800 425 7575 Sample number – replace with verified helpline

CITIZEN OPINION POLL FORM

📊 Public Opinion Poll

Which initiative should the Shivamogga District Administration prioritize to improve services and quality of life for citizens?

🛣️ Road & Infrastructure Development

🏞️ Tourism & Tourist Infrastructure Development

💧 Water Supply & Drainage Improvement

🌳 Environment, Forest & Wildlife Conservation

🚌 Public Transport & Connectivity Improvement

🏥 Healthcare & Emergency Services

🧹 Civic Services, Cleanliness & Waste Management

Additional Suggestions (Optional)

FREQUENTLY ASKED QUESTIONS (FAQ'S)

What is Shivamogga Citizen Connect?

Citizen Connect is a platform that allows residents to submit complaints, queries, suggestions and feedback related to public services in Shivamogga District.

What type of complaints can I submit?

ou can submit complaints related to roads and infrastructure, water supply, sanitation, electricity, street lights, public health, transport, government services, education and environment.

Can I submit a complaint online?

Yes. Citizens can use the online complaint form to submit their concerns along with relevant details and supporting photographs or videos, where applicable.

Can I upload a photo or video with my complaint?

Yes. You can attach supporting images or videos to help the concerned department understand and assess the issue.

Can I participate in public opinion polls?

Yes. Citizens can participate in public opinion polls and share their views on important development priorities and initiatives in Shivamogga District.