Assistance Animals Complaint Form
Please fill out the following form to report a grievance regarding a Service Animal or Emotional Support Animal.
Resident Name (Animal Owner) if known
Person filing a grievance (check one)
*
Faculty
Staff
Navarro College Resident
Guest
Other
Your Name
First Name
Last Name
Your Email
Building Number
Room Number
Date of occurrence of threatening or disruptive behavior by animal.
*
/
Month
/
Day
Year
I have observed disruptive or threatening behavior by a service or emotional support animal on campus. The behavior happened as follows:
Signature
Digital Acknowledgment (Type Name)
*
Type your full name to confirm details. Reminder: The Assistance Animals Complaint Form must be signed by hand (wet signature) in-person.
Date
*
-
Month
-
Day
Year
Date calculated automatically upon submission.
Submit Assistance Animals Complaint Form
Submit Assistance Animals Complaint Form
Should be Empty: