The Officer In-charge,
_________ (Police Station Name),
_________ (Address)

Date: __/__/____ (Date),

Subject: Complaint for harassment

Respected Sir/ Madam,

I am __________ (Name), a resident of ________ (Address) writing this letter to file a complaint about the harassment I have been facing.

This is to inform you that I am being harassed by _______ (Name) who is a resident of ________ (Residence) and which is becoming a matter of concern for me. I request you to lodge a complaint against the mentioned person. _________ (mention your point).

It is proving to be a tough period for me and therefore, I request you to kindly help me with the same. I believe I would get to hear from your side at the earliest.

Yours Truly,
________ (Signature),
________ (Name),
________ (Contact number)

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