Animal Incident Survey -Town of Petawawa

Animal Incident Survey -Town of Petawawa

A voluntary form to help you collect relevant information.
Today's Date
(example: September 30, 2020)
Email*
example@example.com
In light of a number of recent posts about dog bites, Petawawa Pets is collecting information on how animal-related incidents are treated off base. This information can be provided anonymously (only an email required for a copy of the results) or you can include your contact information.

IMPORTANT: this form is not a substitute for contacting animal control. It is critical that all aggressive incidents are reported immediately, so a paperwork trail exists.

For immediate assistance regarding Animal Control Services, please contact PRO-TEC 5 Inc. at 613-504-1550.

To report dog bites to humans, dead birds other environmental issues, please contact the Renfrew County and District Health Unit.
Phone: 613-735-8654
Website: rcdhu.com

For a list of steps to take and contact numbers, visit https://www.petawawapets.ca/report-an-incident/

A copy of this form will be sent to you in PDF format once you click on submit and a link to where the complaint can be filed will be provided.

**All sections in this form are optional - you can complete this with as much or as little information as you are comfortable sharing. The required Email is simply so you can recieve a copy of the report.**

If a pattern emerges it is easier to bring this up and have it resolved for the benefit of the community. Thank you for your participation.
Name of Person filing Incident (Optional - no need to disclose)

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number

Area CodePhone Number
Date Of Incident
(example: September 12, 2020)
Time of Incident

:HourMinutesAM/PM Option
Location of Incident (or closest intersection

Street Address

Street Address

City

Postal Code
Address of Owner (If Known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Description of the Animal
Name of Offending Animal (If Known)
Incident Type

Animal Off Leash / At Large (No Aggressive Behaviour)Animal Nuisance (Barking)Animal Aggression (Growling, Lunging, Snapping, Biting)
Describe the Incident, in Detail
Owner's Response (if not present, state so)
I believe the following applies to the dog in question:

Dangerous Dog - bitten or injured a human or domestic animal without provocation, on public or private property; has shown the tendency to be threatening or aggressivePublic Nuisance - repeatedly at large; molests or intimidates pedestrians or passersby; chases vehicles; excessively makes disturbing noisesRunning at Large - any animal found in any place other than the premises of the owner and notunder the physical control of a person responsibleOther
Please attach photos relevant to this incident report - injuries sustained, photo of Dog reported, photo of place of incident, etc.

Browse Files

Cancelof
Who has been Notified of the Incident:

The other pet's ownerPRO-TEC 5 Inc. at 613-504-1550Renfrew County Health DepartementOPPTown Of PetawawaNone of the Above
If already reported, what was the response (if more than one was contacted, please specify the response of each one)
If you could speak directly to a someone in a position to make changes about the above incident, what are the key things you would want to convey? How could this process / situation be improved?
Should be Empty: