Barking Dog Report | OC Animal Care

COMPLAINANT INFORMATION

COMPLAINANT'S COMPLETE NAME, ADDRESS, AND PHONE NUMBER ARE REQUIRED. FORMS WITH INCOMPLETE OR MISSING COMPLAINANT INFORMATION WILL NOT BE ACCEPTED.
All fields with an asterisk (*) are required fields only.

COMPLAINANT LAST NAME *

FIRST NAME *

PHYSICAL ADDRESS *

CITY *

STATE *

ZIP CODE *

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE

ZIP CODE

CONTACT INFORMATION

HOME PHONE *

OTHER PHONE

BARKING DOG OR NUISANCE ANIMAL INFORMATION

OWNER LAST NAME

OWNER FIRST NAME

VIOLATION ADDRESS *

CITY *

STATE *

ZIP CODE *

HOME PHONE

OTHER PHONE

DATES AND TIMES OF VIOLATION NEED TO BE COMPLETE AND SATISFY THE DEFINITION OF A BARKING DOG OR ANIMAL NUISANCE VIOLATION WHICH CONSISTS OF 30 MINUTES OF INCESSANT NOISE OR 60 MINUTES OF CUMMULATIVE INTERMITTENT NOISE IN A 24 HOUR PERIOD. BE ADVISED THAT VIOLATION DURATIONS FOR INTERMITTENT NOISE NEED TO BE LONGER THAN 60 MINUTES IN LENGTH TO ESTABLISH 60 MINUTES OF COMBINED NOISE OCCURRENCE. TWO DATES OF VIOLATION ARE REQUIRED. AT LEAST ONE DATE OF VIOLATION MUST BE WITHIN THE LAST 10 DAYS. ADDITIONAL INFORMATION REGARDING THE DATE(S) OF VIOLATION CAN BE INDICATED IN THE COMMENT SECTION LOCATED ON THE SECOND PAGE OF THE COMPLAINT FORM.

DATE OF VIOLATION 1 (MM/DD/YY):

CHECK ONE:

INTERMITTENT (ON / OFF)

INCESSANT (NON-STOP)

BARKING/NOISE DURATION (HH:MM):

FROM:

TO:

DATE OF VIOLATION 2 (MM/DD/YY):

CHECK ONE:

INTERMITTENT (ON / OFF)

INCESSANT (NON-STOP)

BARKING/NOISE DURATION (HH:MM):

FROM

DESCRIPTION OF BARKING DOG OR NUISANCE ANIMAL (IF KNOWN)

DOG

OTHER

DOG BREED OR ANIMAL TYPE: *

COLOR *

SIZE *

MALE

FEMALE

OTHER DESCRIPTION OR ADDITIONAL ANIMALS (250 Character Limit):

HAVE YOU CONTACTED THE RESPONSIBLE PARTY?

Yes

IF YES, PLEASE LIST THE DATE AND NAME OF THE PERSON CONTACTED (70 Character Limit):

ADDITIONAL INFORMATION OR COMMENTS (250 Character Limit)

PLEASE ONLY INCLUDE INFORMATION IN THIS SECTION THAT RELATES TO THE DATES OF VIOLATION ENTERED ABOVE

By signing below, I am stating, under penalty of perjury under the laws of the State of California, that I have completed this barking dog or animal nuisance complaint in good faith and upon my own free will; that the information contained in both pages of this complaint form is true and correct to the best of my knowledge; and that I am an actual witness to the barking dog or animal nuisance violations listed in this complaint.

SIGNATURE

BARKING DOG COMPLAINT FORM

COMPLAINANT INFORMATION

BARKING DOG OR NUISANCE ANIMAL INFORMATION