Report Case - LAMIS

Case/Complainant Reporting Form

Name of Complainant *

Gender of Complainant *

Date of Birth of Complainant *

National Identification Number *

Primary Telephone Number *

Secondary Telephone Number

Email of Complainant

District of Residence *

Address of Residence *

Attach National Identification

Click to upload National ID or drag and drop

Attach Driving Permit

Click to upload Driving Permit or drag and drop

Type of Case *

Description of Complaint *

Attach Contract

Click to upload Contract or drag and drop

Attach Work ID

Click to upload Work ID or drag and drop

Attach Last Pay Slip

Click to upload Last Pay Slip or drag and drop

Attach Any Pay Slip

Click to upload Any Pay Slip or drag and drop

Attach a Picture in Uniform

Click to upload Picture in Uniform or drag and drop

Attach Treatment Report (if any)

Click to upload Treatment Report or drag and drop

Name of Employer you are complaining about *

Select the District of Employer *

Physical Address of the Employer *

Contact Person Name of the Employer *

Contact Person Telephone of the Employer *

Contact Person Email of the Employer

Case report submitted successfully! You will receive a confirmation email with your case reference number.