Dog Park Incident Report Online Form

Florida Statues 767.01 & 767.04 states: Dog owners are liable for the damages or injuries caused by their pets to people or other domestic animals. In the event the dog park Rules and Regulations are violated or a complaint has been filed or a canine and/or individual has been bitten or injured, CROA reserves the right to prohibit or suspend the use of the dog park by a resident or canine.

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Comments

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Today's Date*

Date of Incident:*

Time of Incident*

:

First name*

Last name*

Your phone number **

Email*

First name*

Your dog's name (if involved)

Breed

Weight

Untitled

Age

Other Individuals and/or Dogs Involved

Name

Email

Phone*

Untitled

Dog's Name

Description of Dog

Description of Individual

Location of Incident/Violation*

Action Taken*

Description of Incident or Violation*

Please provide a full description of the individual, their dog’s name and/or anything that may be pertinent (i.e., description of clothing, make, model, color of their car, etc.)

Witness Information (if applicable)

Name

Phone

Email