Title Page

  • Conducted on

  • Impound Number

  • Assessing Officer

  • Animal Impoundment Reason

  • Animals Name

  • Sex

  • Breed

  • Microchip

Behaviour Testing

  • Signs of Training

  • Anxiety / Behavioral Issues

  • Aggression Towards Humans

  • Officers Notes

Dog to Dog Testing (if other dogs are present)

  • Observations

Aggression Toward Other Dogs.

  • Behaviors observed

  • Officers Notes

Assessment Notes

  • Officers Final Observations

  • Determination

  • Photograph of dog

  • Assessing Officer to sign

  • Time date completed.

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