Type Description here
21615 64th Ave. S. | Kent, WA 98032 | 206-296-7387 | [email protected]
A. INTERPRETER SERVICES
Yes, I need an interpreter. (select language)
1. COMPLAINANT INFORMATION
Title
Complainant's Full Name (First and Middle, Last Name)
Phone Number 1 (xxx-xxx-xxxx)
Phone number 2 (xxx-xxx-xxxx)
Address
Date of Birth (month/date/year)
Email Address
2. VICTIM'S INFORMATION
Victim's Full Name (First and Middle, Last Name)
Phone Number 2 (xxx-xxx-xxxx)
Email
3. INFORMATION OF ANIMAL OWNER COMPLAINT FILED AGAINST
Owner's Full Name (First and Middle, Last Name)
Phone number 1 (xxx-xxx-xxxx)
Vehicle Information (license plate, make and model, color, year)
INCIDENT INFORMATION
If known, please provide your Animal Case Number
Time and Date of Incident
City
Address / Name of Location where incident took place
Description of Incident (please provide a detailed description)
Describe offending animal (cat, dog, other – include breed, sex, color, size)
Bite information (for humans only)
Please draw your name
Clear
Next Steps