Code C

Code C - Dingo Interaction Report Form

Dingo ID

Management Area


How long did the interaction last


Reporting Officer/s details

Details of the person(s) involved in dingo interaction



Phone number

Witness type
Detailed report of events.

Description of interaction

Persons activity at time of interaction
How/why did the dingo(s) leave?


What were the actions of the dingo(s) during the interaction

Specify distance/property damaged

Dingo identification
Dingo ID



Was the dingo tagged

Which ear was tagged?

Tag description

Any other identification

Relevant photos
Follow-up action

Details of further action

Date distributed
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.