Fields marked with an * are required to print this form. Anonymous submissions are not accepted. This form will not allow you to print unless you provide a barking dog violation that occurred within the past 10 days.
*Last Name: *First Name: Middle Name:
*Street Address:
*City: *State: *ZIP Code:
Mailing Address (If Different from above):
City: State: ZIP Code:
*Home Phone: Other Phone:
Owner Last Name: First Name: Middle Name:
*Address of Barking Dog(s):
Home Phone: Other Phone:
*Date of Violation(MM/DD/YYYY):
*Barking Duration-- From: To:
*Check One:Incessant Intermittent
Date of Violation(MM/DD/YYYY):
Barking Duration-- From: To:
Check One:Incessant Intermittent
Description of barking dog(s) (if known): Breed: Color: Size: Gender: M F
Other Responsible Party's Name(s):
Responsible Party's Relationship to Owner:
Have you attempted to contact the dog(s) owner or any other Responsible Party? Yes No
If yes, name of party contacted and date:
What occurred when you made contact with the dog owner?:
Click to validate this form and generate a printable pdf file. You may submit this form by mail to OC Animal Care at 561 The City Drive South, Orange, CA. 92868 (To expedite the process, you may hand deliver the completed form to OC Animal Care or fax it to the Operations Desk at (714) 935-7699). The process of resolving the problem will be set in motion. (Adobe Reader is required to print this document)
