Dog Complaint Form

Dog Act 1976 s. 38(2)

Form 7 r. 32

Take notice that a dog believed to be a*

Has created a nuisance by*

The dog is believed to be owned by*

The dog is ordinarily kept at*

Full Name*

Address*

Contact Phone*

Information has been given to the Shire of Dundas to the best of my knowledge*

YesNo

I agree to appear in court and give evidence as a witness to the truth of this complaint*

YesNo

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Dundas Shire Office