Barking dog or noisy animal complaint form

Complainant name and contact information
Name * Required
First Middle Last
Address * Required
Street Address Address Line 2 City State ZIP Code
Primary phone
Email * Required
Dates and times for barking or noise violations
List all exact dates and times of barking or nuisance violations. * Required
Dates and times must be specific. Avoid using terms such as all the time, everyday, or always.
Description of barking dog(s) or noisy animal(s)
If known
Please provide a brief description of the barking dog/noisy animal and the situation. Include breed, color, and size.
Barking dog/noisy animal owner information
Barking dog/noisy animal owner's name
First Middle Last
Address of nuisance * Required
Street Address Address Line 2 City State ZIP Code
Contact with owner
What happened?
Have you attempted to contact the dog(s)/noisy animal(s) owner or any other responsible party? * Required
- Yes
- No
If yes, name of the party?
If yes, date of contact?
MM slash DD slash YYYY
Please provide a brief description of what occurred when you made contact with the dog/noisy animal owner?
Please upload/attach any additional evidence that would help us in evaluating your complaint.
Max. file size: 50 MB.
I DECLARE UNDER PENALTY OF PERJURY AND PURSUANT TO THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. * Required
I understand
I UNDERSTAND THAT FILING A FALSE POLICE REPORT IS A MISDEMEANOR AND COULD SUBJECT ME TO CRIMINAL PROSECUTION AND THAT THE MAXIMUM PUNISHMENT FOR EACH VIOLATION IS SIX (6) MONTHS IN JAIL AND/OR A $1000 FINE. * Required
I understand
The person responsible for the barking dog(s) and/or noisy animal(s) is entitled to a warning and 10 days to abate the nuisance caused by their barking dog(s) or noisy animal(s). If that person fails to abate the nuisance, then that person could face a criminal or administrative fine. * Required
I understand
Signature * Required
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Barking dog or noisy animal complaint form

View instructions for completing barking dog or noisy animal complaint form

Complainant name and contact information

Dates and times for barking or noise violations

Description of barking dog(s) or noisy animal(s)

Barking dog/noisy animal owner information

Contact with owner

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