* Denotes that the field is mandatory.
Given Names
Surname/Company Name *
E-Mail Address *
Home Telephone
Mobile Telephone *
Is this complaint about a Barking Dog
Description of the dog
How did you identify the dog responsible for the barking
Time barking occurs
How long has the barking been an issue
Name of other adjoining resident known to be affected by the barking dog
Address of the other adjoining resident
Daytime phone number of the other adjoining resident
Is this complaint about a different kind of animal
Type of animal
Name of animal's owner if known
Location of animal
Your residential address
Your daytime contact number
Attachment File 1
Attachment File 1 Description
Attachment File 2
Attachment File 2 Description