Title Page
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Conducted on
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Prepared by
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Location
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Customer Service Number
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Officer/s Assisting
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Who Sighted the Dog/s
- Reported by Resident
- Reported by Tourist
- Sighted Whilst on Patrol
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Dog/s Originally Sighted At
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How Many Dogs?
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Description of Dog/s Sighted
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Photographs
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Did Dog/s return home on their own?
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Was the Owner at home?
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Have the Dog/s Being Captured?
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Have the Dog/s been Impounded?
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Has a Caution Notice been issued previously?
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If Yes, please advise responsible person/owner that a Compliance Notice or Penalty infringement Notice/s will be issued
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If No, please complete a Caution Notice and take photo of White Copy of Notice
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Officer Comments
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Report Completed
