Report a Dog on Dog Attack

Report a Dog on Dog Attack
This form is for dog on dog attacks only within the Surrey Heath area. Dog on human attacks should be reported to the Police via 101 or 999 in an emergency.

Please complete as much information as possible to enable us to assess your report thoroughly. Following assessment, consideration will be given as to whether or not we are able to commence an investigation. Each case will be considered on its own merits, based on the information provided.
Your name*

First NameLast Name
Your address*

House name / number

Street Address

TownState / Province

Postal Code
Your contact number
Please enter a valid phone number.
Your e-mail address
example@example.com
Your dog's name*
Your dog's breed*

Incident Details
Date and time of incident*

DayMonthYear
Hour Minutes
Location of incident within Surrey Heath*
Please be as specific as possible - i.e. road or street name, any landmarks etc
Details of the incident
Please provide a full description of what happened
Were there any independent witnesses?*

YesNo
Witness contact details
Please provide details of any witnesses
Did your dog(s) need veterinary care?*

YesNo
Has this incident been reported to the Police?*

YesNo
Crime Reference number (if known)
Please provide the Crime Reference number you have been given by the Police
Please upload any photos or other evidence if you wish

Cancelof

Important Notice
Please note - without any of the information below being supplied the case will be recorded for information only
Attacking dog's name
If known
Attacking dog's breed
If known
Attacking dog owner's name
If known
Attacking dog owner's address (if known)

House name / number

Street Address

TownState / Province

Postal Code
Their contact number(s) if known
Please enter a valid phone number.
Their e-mail address (if known)
example@example.com
Any other evidence?
Please provide any other relevant information
Declaration
I declare that the above information is correct*

Please tick
Date*

DayMonthYear
Privacy Statement

Details of Surrey Heath Borough Council’s Privacy Notice can be found here
Should be Empty:

Incident Details