Animal Complaint Form

The following is required for us to be able to follow up your complaint. Please be as accurate as possible and ensure you provide a valid contact number for us to be able to call you to obtain further information. Alternatively, you can provide your email address and we can contact you that way.

Title*

Surname*

Given Name(s)*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number*

Email Address*

Details of the Complaint

Complaint Details

Details of the Complaint

Please provide as much information as possible

Wherever possible, please include names of any other persons involved, the animals breed/colour/gender and the location of the incident. If you need to provide more information than the form allows, please make a note in the "Complaint Details" Section and an officer will be in contact with you.

What sort of Animal is the compliant about?*

Colour of Animal*

Animal's Address or Animal Sighting*

Owner Details (if known)*

What is the Complaint?*

Do you have photos of the Animal?

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Have you lodged this compliant before?*

YesNo

Date*

Confirmation of Submission

By clicking “Yes” I confirm the following:

That on submission, I have lodged a formal complaint
That the above information is accurate to the best of my knowledge
That I may be contacted to confirm any details that may be required, and undertake to give full information to the Council as to this matter
That if this matter proceeds to court, I consent to being called as a witness to the truth of this complaint OR;

whereby I do not consent to being called as a witness;
I understand that this may result in the matter being unable to proceed any further due to insufficient evidence.

Do you confirm the above?*

YesNo

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