Infringement notice explanation form (Dog Control Act 1996)

Please note: all fields marked with * are required.

Name of person to whom notice is issued
First name(s):*
Surname:*
Present address:*
Date of birth:*
Phone:*	(Please provide at least one)
	(hm)
	(wk)
	(mobile)
Email:
Details of infringement notice
Notice number:*
Date of offence:*
Registered owner
Name:*
Address:*
Please complete explanation below:*

If you would like a 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, we will be unable to send you your copy)

Authorising Unit: Inspections and Enforcement

Last reviewed: Friday, September 18, 2009

Next review: Thursday, March 18, 2010

Keywords: infringement notices

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