Impound - Domestic Animal - Impound Report - 2021

Impound Report - DOMESTIC

• Date Conducted on

  Date

• Time Conducted

  Date

• Animal Description

• Prepared by

Impound Report

• Assisted By

• Impound Reason

  Select Dog Attack Dog Attack - DO NOT RELEASE Handed in by member of public Prohibited Animal Prohibited bird Seized for non compliance Surrendered by owner Trapped in Council Trap Wandering at large Other

  • Dog Attack
  • Dog Attack - DO NOT RELEASE
  • Handed in by member of public
  • Prohibited Animal
  • Prohibited bird
  • Seized for non compliance
  • Surrendered by owner
  • Trapped in Council Trap
  • Wandering at large
  • Other

• Seizure Location description (ie; WAL on roadway outside 7 Blob Street)

• Township

  Select Longreach 4730 Ilfracombe 4727 Isisford 4731 Yaraka 4702

  • Longreach 4730
  • Ilfracombe 4727
  • Isisford 4731
  • Yaraka 4702

• Pen Number

  Select ##DOG PENS## D 1 D 2 D 3 D4 D 5 D6 D 7 D 8 ##CATTERY PENS## C 1 C 2 C 3 C 4 C 5 C 6

  • ##DOG PENS##
  • D 1
  • D 2
  • D 3
  • D4
  • D 5
  • D6
  • D 7
  • D 8
  • ##CATTERY PENS##
  • C 1
  • C 2
  • C 3
  • C 4
  • C 5
  • C 6

• Registration Status

  Select Registered Rego Expired Never Registered Regulated Dog Registration Status unknown Cat release fee

  • Registered
  • Rego Expired
  • Never Registered
  • Regulated Dog Registration
  • Status unknown
  • Cat release fee

• Rego Tag

• Microchip

• Collar or other items

• Impound History (if known)

  Select First Impound - Registered First Impound - Unregistered Second Impound Third Impound Third and Subsequent Cat release

  • First Impound - Registered
  • First Impound - Unregistered
  • Second Impound
  • Third Impound
  • Third and Subsequent
  • Cat release

• Has Caution Notice been issued before

  Yes

  No

  N/A

• Has a Compliance Notice been issued before

  Yes

  No

  N/A

Animal Details

• Species

  Select Dog Cat Rooster Poultry Duck Large Birds (peacock / Guinee fowl Type) Ornamental Bird/s (parrot / canary / finch type) Other

  • Dog
  • Cat
  • Rooster
  • Poultry
  • Duck
  • Large Birds (peacock / Guinee fowl Type)
  • Ornamental Bird/s (parrot / canary / finch type)
  • Other

• Breed Type

• Colour

• Sex

  Select Male Female Male desexed Female desexed Stallion Mare Gelding Bull Heifer Steer Cow Billy Nanny Boar Sow Unknown

  • Male
  • Female
  • Male desexed
  • Female desexed
  • Stallion
  • Mare
  • Gelding
  • Bull
  • Heifer
  • Steer
  • Cow
  • Billy
  • Nanny
  • Boar
  • Sow
  • Unknown

• Approx Age

• Body Mass

  Select Healthy Slightly underweight Very underweight Skeletal Thin due to advanced age

  • Healthy
  • Slightly underweight
  • Very underweight
  • Skeletal
  • Thin due to advanced age

• Signs of illness

• Signs of injury

• Photo of animal

  Media

• Officer Comments

• Report Completed

  Date