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2. Today's Date*
   Today's Date
3. Date of Occurrence*
   Date of Occurrence
5. Policy 21.1.2

   Name, address, phone number and location must be completed. 
   “As per the County of Wetaskiwin’s Enforcement Complaint Process, complaints that do not have a complainant’s name, address, phone number and a general location of where the incident happened will not be considered valid and complaints will not be followed up on.”

7. Complainant First and Last Name*
9. Complainant Phone Number*
11. Rural Blue Sign Address, and / or Subdivision Name (if applicable)*
13. Description of Dog*
    Please include color, best guess at breed, etc.)
15. Owner of Dog
    Please include this information if it is known.
17. Complaint Details*
19. Upload photo
21. Protection of Privacy Act

    The personal information collected through this Dog Complaint form is for the purpose of managing dog complaints. This collection is authorized by Section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, please contact the County of Wetaskiwin Privacy Officer: email legislativeservices@county10.ca; telephone 780.352.3321.

    
    

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit