City of Mingus, Texas

Appendix A — Animal Complaint / Incident Form

Referenced in Title VIII – Animals

Complainant Information

Name
Address
Phone
Email

Incident Details

Date of Incident
Location of Incident
Type of Complaint




Animal Description
Description of Incident

Witness Information (if any)

Name
Phone

Complainant Signature

SignatureDate

For City / Animal Control Use Only

Received ByDate Received
Investigation / Action Taken
Follow-Up / Disposition
↑ Return to Title VIII – Animals | Code Index