Aggressive Dog Complaint Form


Dog Park Complaint Submit Form: (use to report issues that happen at either of our Dog Parks)



PLEASE TELL US ABOUT YOURSELF (submitter's information):

Name:      
Address:   
City:          
State:        
Phone:      
Email:        

Ok to Contact me:    Yes          No  


PLEASE TELL US ABOUT THE INCIDENT:
On this Date:          
Day of the Week:    
Time:                      

Which Dog Park was this at:      Simi Dog Park    or Oak Canyon Dog Park   

Location:      Big Dog Side =         Small Dog Side = 

THE FOLLOWING INCIDENT OCCURRED:




PLEASE DESCRIBE THE DOG THAT CREATED THE PROBLEM:
Dog Name if known:   
Breed/Type if known: 
Color(s) of Dog:         
Sex:  
Age:   
Size:   
Dog Tag/License if known:   
Weight:     
Distinguishing Characteristics:   
Miscellaneous Information:         



PLEASE TELL US ABOUT THE PERSON WITH THE DOG (if known):
Name of the person with Dog:  
Was the person with the Dog the owner?:   
Their phone #:   
Their Car license plate #:  
Car License State:   
Car Make:        
Car Model:       
Car Color(s):    



WHERE THERE WITNESSES?:   Yes        No  

Witness Name #1:    
Witness Phone #1:   
Witness Name #2:    
Witness Phone #:     
Witness Name #3:    
Witness Phone #3:   

          

THANK YOU FOR SUBMITTING THIS INFORMATION TO US.