Please use this form to report a concern or complaint about a dog. ← BackThank you for your response. ✨ Reporter’s First and Last Name(required) Reporter’s Street Address(required) Reporter’s Email(required) Reporter’s Telephone Dog Owner’s Name (if known) Dog Owner’s Address (if known) Dog Owner’s Phone (if known) Has the dog caused any injuries? Yes No Dog’s Name (if known) License Tag Numbers / Town (if known) Rabies Vaccine Tag Number (if known) Dog’s Gender Male Neutered Male Female Spayed Female Unknown Dog’s Color The dog is / has been running loose in the garbage damaging property barking or making other noise defecating on private property in need of medical or other special care other, see comments When does the problem occur? (YYYY-MM-DD) Where does the problem occur? Comments SubmitSubmitting form Δ
