Animal Complaint Form
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1Town of Winchendon
Office of
109 Front Street
Animal Control
Winchendon, MA 01475
Telephone (978) 297-3533
Fax (978) 297-1616
Animal Complaint Form
(Please fill out as much information as possible and leave form at police dispatch on Pleasant St.)
Today’s Date: ____________________
Complaint Against(full name):
Your Name: _____________________
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Address: ________________________
Address: ________________________________
Phone: _________________________
Animal Breed(s)/Description(s):
E-mail: _________________________
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Circle Reason for Complaint: Barking Dog(s)
Loose Dog(s)
Animal Neglect/Abuse
Other: ____________________________
Date(s)/time(s) incident occurred: _____________________________________________________
How long has this been going on? ______________________
Have you spoken to the pet owner? _____________
Have you taken photos or video? ____________
Detailed Summary:
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Your Signature
ACO Signature
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Parent category: Legal