Infringement Notice Form - Animals & Pets - Christchurch City Council

Animals & Pets

Infringement Notice Explanation (Dog Control Act 1996) NB: Questions with an asterix (*) require an answer
Name of person to whom notice is issued (Use block letters)
First name(s):*
Surname:*
Present address:*
Date of birth:*
Phone numbers:*	(Please provide at least one)
	(hm)
	(wk)
	(mobile)
Email address:
Details of Infringement Notice
Notice number:*
Date of offence:*
Registered owner
Name:*
Address:*
Please complete explanation below:*

If you would like a plain text copy of your explanation emailed to you, please enter your email address below: (NB: Please ensure your email address is correct - if it is not, you will not receive a copy of this!)

Christchurch City Council, PO Box 237, Christchurch Mail Centre, Christchurch 8140, New Zealand
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