Title Page

IMPOUND

IMPOUND INFORMATION

  • Animal impounded

  • Impound reason

  • Location seized
  • Location Animal Found

ANIMAL INFORMATION

  • Animal

  • Gender

  • Breed

  • Colour

  • Desexed

  • Microchip No

  • Collar / Distinguishing Marks

  • Animal Photo

OWNER/RELEASE INFO

OWNER INFORMATION

  • Owner Details

  • Address

  • Phone Number

  • Date Contacted

RELEASE INFORMATION

  • Officer

  • Release Reason

  • Owner Name

  • Agents Name if dog not returned to owner

  • Date

  • Signature

  • Infringement Number

  • Other information or comment

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