Animal Complaint Form

DO NOT USE THIS FORM if you do not know the address of the animal owner, such as an animal running at large or animal attack please contact DCAS at 303-660-7529.

All form entries must be completed for the form to be submitted to DCAS. If you do not complete all entries, you will receive an error message with highlighted areas that are required to be completed. You will receive an email after successful submission. If you do not, please check your "junk" mail.

Complainant Information
The personal information requested on this form will be used to identify and subpoena the complainant should the issue be set for trial. Prior to signing this form, the complainant should understand that the information provided on the statement will become a matter of public record and can be released in compliance with Colorado Revised Statutes. If this statement is concerning Barking Dogs, as per Douglas County Resolution R999-177 1.05(1) (h) your name and address will be provided to the defendant at the time of service. Before any legal action can be taken, the statement must include the following:
Complainant's Name*
First Last
Email*
Complainant's Address*
Street Address City ZIP Code
Home Phone*
Cell Phone
Witness Information
If there is no witness information available please skip this section.
Witness Name
First Last
Witness Address
Street Address City ZIP Code
Home Phone
Cell Phone
Violation Information
Please fill out as much information in detail as you can.
Date the violation occurred.*
Date Format: MM slash DD slash YYYY
Approximate start time of the violation.*

: HH

MM
Approximate stop time of the violation.*

: HH

MM
Information about the animal.
DO NOT USE THIS FORM if you do not know the address of the animal owner, such as an animal running at large or animal attack please contact DCAS at 303-660-7529.
Address of Animal Owner*
Street Address Address Line 2 City ZIP / Postal Code
Size of the animal.*
Breed of animal - if known.
Color of animal.*
Hair length of animal.*
Statement
This Statement Form is a legal and binding document. By providing a signature on this document the complainant is acknowledging that the facts contained within are true and correct to the best of his/her knowledge. A signature also indicates that the complainant is willing to testify in a court of law concerning this matter.
Statement*
Please upload any photos you may have of the animal.
Would you like to be contacted after corrective measures have been placed?*
- Yes
- No
Acknowledgement*
- Yes
- No
I acknowledge that all of the information provided is true and correct to the best of my knowledge.
Signature*
First Last
Date*
Date Format: MM slash DD slash YYYY

Complainant Information

Witness Information

Violation Information

Information about the animal.

Statement

Contact Information

Emergency 9-1-1 or 303-660-7500

Animal Services

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