Regional District of Kitimat-Stikine

Dog Control Complaint

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Dog Control Complaint

* Required Field

* Date of Occurrence:

* Time of Occurrence:

Complainant Information

* Name:

* Address:

* City:

* Province:

* Postal code:

* Home Phone:

* Work/Cell:

* Email:

* Willing to give evidence in court if required: Yes No

Complaint Against

Name, if known:

* Address:

* City:

* Province:

* Postal code:

Phone:

Description of location:

Dog Information

* Breed:

* Colour:

* Size:

Age:

Markings:

License Number:

Nature of Complaint

* Nature of Complaint: At Large Barking Aggressive Other

If other, please explain:

* By checking this box, printing my name and date, and submitting this form, I confirm that the information provided on this document is accurate and complete.

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Date:

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