Sunday, May 11, 2008
Department of Animal Services Complaint Form
Return to Animal Services Index
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Your Name:
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Your Phone Number:
*
Your Email Address:
All information received will be kept in strict confidence.
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Would you be willing to testify in court should a summons be issued in regards to this case?
Yes
No
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What is your specific complaint?
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What type of animal(s) involved?
(cat, dog, etc.)
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Please give a brief description of the animal:
If you know, what is the pet owner's name:
The pet owner's phone number:
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What is the address or directions to where the incident is (was) occuring?
Please include any other information which you think may be helpful:
* = Required Field
D
epartment of Animal Services -
10144 James Monroe Highway
Culpeper VA 22701
(540) 547-4477 - Director:
Jamie Bennett
