Title Page
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Document No.
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Seizure / Impound Process
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Conducted on
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Prepared by
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Location
Seizure process
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Dog secure?
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Microchipped?
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Microchip number
Impound process
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Reason for impound
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Impound number
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S57- Attack:
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S33 - Required to:
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S58 - S71 notice?
Straying
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Straying?
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History?
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Able to contact dog owner?
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Infringement?
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Type S53 - infringement number:
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Handed to owner
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Taken to shelter?
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Taken to shelter?
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