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Noisy Animal Complaint Form
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This form has been modified since it was saved. Please review all fields before submitting.
Fields marked with an * are required to print this form. Anonymous submissions are not accepted.
Your Last Name
*
Your First Name
*
Middle Name
Your Address
Please enter your residential address. This should be in close proximity to the noise.
Street Number
*
Street Name
*
Apt./Unit #
City (Antioch excluded)
*
Antioch residents, please contact Antioch Animal Services at 925-779-6989
State
*
Zip
*
Home Phone
*
Other Phone
Email Address
*
Enter "none" if you don't have an email address
Mailing address if different from above:
Street Number
Street Name
Apt./Unit #
City
State
Zip
Noisy Animal Information
Please enter in only one address per form. PLEASE NOTE: Per Department policy, we allow one complaint per household, when there has been an initial report filed, and the 15 day compliance period is in effect. or noisy animals located in Antioch, please call Antioch Animal Services at 925-779-6989 to file a complaint.
Owner's Last Name
Owner's First Name
Street Number
*
Street Name
*
Apt./Unit#
City
*
State
*
Zip
*
Home phone
Date and time of violation
Please enter the starting day and time and ending day and time in a 24 hour period only. Please remember that midnight is 12:00 am.
Starting on
*
Starting on
at
*
at
Select one
*
Incessant
Intermittent
Ending on
*
Ending on
at
*
at
Description of noisy animal if known
Animal Type
*
Color
Size
Small
Medium
Large
Unknown
Gender
Male
Female
Unknown
Other responsible party's name(s):
Relationship to owner
Have you attempted to contact the owner or any other responsible party?
*
Yes
No
What occurred when you made contact with the owner/responsible party?
Click submit when you are done
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