Information

DOG ATTACK

  • Document No.

Victim/injured animal information

DOG ATTACK INVESTIGATION

  • INVESTIGATION TITLE

  • DATE RECEIVED

  • INVESTIGATION DATE

  • REQUEST NUMBER

  • INVESTIGATING OFFICER

VICTIM INFORMATION

  • Victim Details

  • Person
  • Name

  • Age

  • Contact Information

  • Seriousness of attack

  • Nature of Injury (select multiple if needed)

  • Body part affected

  • Outcome/Treatment

  • Summery of the Incident

  • Injury Photographs

INJURED ANIMAL INFORMATION

  • Number of injured animals

  • Animal Details

  • Animal
  • Animal Type

  • Breed

  • Owners Name

  • Contact Information

  • Seriousness of attack

  • Nature of Injury (select multiple if needed)

  • Body part affected

  • Outcome/Treatment

  • Injury Photographs

  • Description of the Attacking Dog
  • Dog size

  • Collar/Distinguishing Marks

  • Colour

  • Gender

  • Address if known

Details of Attack

LOCATION OF ATTACK

  • Address of incident
  • Place of occurrence

  • Photo of incident area (include holes, broken fences etc.)

INCIDENT INFORMATION

  • Incident classification

  • Was the attacking dog on a leash?

  • Was the attacking dog provoked?

  • Summary of Incident

  • Is a statement attached?

WITNESSES

  • Witness information

  • Witness
  • Name

  • Address

  • Phone number/s

  • Description of attacking dog/s

  • Summary of incident

  • Is a statement attached?

Investigation status

Animal Management (Dogs and Cats) Act 2008

  • Proposal Issued

  • Response from animal owner

  • Regulated Dog Declaration Issued

  • Infringement Issued

  • Animal Relinquished

  • Animal Euthanised

Fraser Coast Regional Council Local law

  • Infringement Issued

Attacking Dog and Owner Information

ATTACKING DOG INFORMATION

    Attacking dog
  • Owner Name

  • Address

  • Phone Number/s

  • Dogs Name

  • Registration number

  • Is the animal registered?

  • Breed

  • Gender

  • Colour

  • Desexed

  • Photo of attacking dog

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