Online Form - Dog Attack Report

Dog Act 1976

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Postal Address
Residential Address

Victim Details (person or dog)

Residential Address

Attacking Dog and Owner Details (if known)

Postal Address
Residential Address
Was The Owner In Attendance When The Attack Occurred*

Details of the Attack

Was Physical Injury Caused?
Did the Victim Require Medical Treatment?*
Was Anything Else Damaged (bike, clothing etc)*
Would you be Prepared to Give Evidence in Court Regarding this Attack?*
Were there any witnesses?*

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