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Brimbank City Council –
Barking Dog Reference Guide
Barking Dog
Reference Guide
Barking dog complaint form
Please be advised that all information recorded on this document is admissible as evidence and may
be used in Court.
Your details
Name
Address
Postcode
Phone: (Home)
(Mobile)
Email
Offending Dog Details
Address
Postcode
Colour & Breed Dog 1
Colour & Breed Dog 2
• Have you read the “Barking Dog Reference Guide”?
Yes
No
• Have you verified where the barking is coming from?
Yes
No
• Have you spoken to the neighbours about this problem?
Yes
No
• Are other neighbours prepared to support your claim?
Yes
No
• If YES, please provide their name and contact details below:
Yes
No
I, the undersigned wish to lodge a formal complaint with Brimbank City Council in relation to the dog(s) described
above which bark persistently to such a degree that it unreasonably interferes with my peace, comfort, or convenience
in my premises.
I submit all documented evidence of this as being truthful and accurate and will give evidence under oath before a
Court should the complaint not be rectified by the investigating Council Officer. I also understand that this evidence
may be subject to cross examination should the matter proceed to Court.
I understand that no action will be taken against the dog owner, by Council or its officers until the Complaint Form
and relevant evidence has been signed, and the information returned to Council.
Signature of Complainant
Date
Privacy Statement:
Brimbank City Council is collecting the personal information for the purpose of gathering information applicable to this complaint.
The information will be used for investigating the complaint and will not be disclosed to another party except as required by law.