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2. Address / Location of Complaint*
4. Do you wish to be contacted?

   1. Yes
   2. No
5. Do you wish to remain anonymous?

   1. Yes
   2. No
7. Phone Number*
8. Email Address*
10. Best time to contact?
12. Your Name*
14. Type of Complaint*
    -- Select One --Barking DogRunning at LargeAnimals Per HouseholdAnimal BiteOther
16. Description of Complaint*
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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