Submit Report - Adelaide Dog Attack Register

Title *

Date *

Time *

Suburb *

Dog photo (optional)

Describe the attack/harrasment (270 words) *

Incident type? *

Breed of dog that attacked you (if known) *

Where did attack happen? *

Was dog leashed? *

Vet required? *

Owner identified? *

Cost of treatment

$

Owner paid fees? *

Would you like to submit your report to the council where the attack happened? *

Contact with me information *

Message

Your name

Dog's name

Your address

Breed of your dog

Phone No.

Registration No.

Witnesses?

Desexed?

Microchipped?

My dog on leash?

Council

Approved

Validate Email