Dog Investigation Form

Secondary Phone (optional)

Address where incident occurred?

Breed, weight, colors, and identifying markings of dog(s)

Dog owner’s name, if known

Dog owner’s phone, if known

If yes, describe injuries and veterinary treatment received as a result of this incident:

Additional information (optional)

Answer the following questions if this is regarding a dog bite to a human, skip otherwise.

Bite location on victim’s body:

Please describe other treatment

How many sutures were administered?

Bite victim's address:

Bite victim's phone:

Bite victim’s Date of Birth:

If the bite victim is a minor, what is their guardian’s name and phone number?

Describe the Incident