Dog Fouling Incident Form To see more about how we record and store your information please see the Council’s privacy notice. Step 1 of 9 11% We appreciate you telling us about this problem. We're committed to maintaining clean and safe public spaces and need all dog owners to act responsibly. Your support is vital to make this happen. We would like to know more about what you saw and what you can tell us about the dog owner, so that we can consider the most appropriate action to take and target our resources effectively. What action will we take? The Dog Warden will increase his patrols in the area irrespective of whether you complete this form or not but if you can provide us with some more detailed information about what happened we can then visit the area at specific times and gather evidence with a view to us taking enforcement action. This could involve issuing a fixed penalty notice or prosecuting the dog owner. Save and Continue Later Your DetailsName* First Name Last Name Address* Street Address City State Zip/ Postal Code Phone Save and Continue Later Date of the witnessed IncidentDate of Incident* Date Format: DD slash MM slash YYYY Please select the date when the incident was witnessed. LocationType of Land*Type of land: pavement, grass verge, sports ground, church yard and etc. Are there notices displayed, or dog fouling bins nearby?*Please select ...YesNo Save and Continue Later Who was the Incharge of the DogGender*Please select ...MaleFemaleIf known, what was this persons nameAny other features you remember?What time(s) of the day do they normally walk their dog?If known, please provide us with the persons address details below Save and Continue Later Description of the DogWhat is the colour of the dogThis could include whether the dog is shabby, longed or short haired etc. What type of breed is the dog (if known)for example. Labrador, Boxer, Golden retriever, Cocker spaniel, Western Terrier, etc. Save and Continue Later What did you see when the dog fouled?Do you think the person with the dog saw it foul? (Required)*Please select ...YesNoNot SureHow far away was the dog owner when this happened?*Were they distracted in anyway?Was the dog on the lead?*Please select ...YesNoDid they make any attempt to clear away the feaces?*Please select ...YesNoDid you speak to the person in charge of the dog?Please select ...YesNoIf 'yes' What did they say?Try to be specific on what they said and how they said it. (agressive, polite and etc.) Save and Continue Later Vehicle and WitnessesDid you see the person in charge of the dog get into a vehicle?*Please select ...YesNoIf 'yes' what type of car was it?Help: This could include Make, Model, Year, Colour, Reg Number and etc.Did anyone else see what happened?*Please select ...YesNoIf 'Yes' how can we contact this person?If you know of any contact details, i.e. Phone number or Address. Save and Continue Later Further InformationIs there anything else you would like to let us know which can be useful for our investigations?This could be about what you saw, about the person, of the dog and etc.. Save and Continue Later Are you a robot?Please tick I am not a robot and verify By pressing "Submit Form" button below would complete this form and send it for internal processing. PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.