Glass City Dog Park Incident Report Form
Any incident involving bodily injury to humans or dogs requiring medical attention should be immediately reported to the Toledo Police Department by calling (419)245-3340 or dialing 911. 
This form should be completed for all incidents of aggressive dog behavior regardless of the severity. 
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Email *
Date of Incident
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DD
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Time of Incident
Time
:
Location of Incident:
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Reporting party's name:
Email address:
Phone number:
Your dog's name:
Your dog's breed:
Your dog's weight (approx):
Your dog's color/general description:
Other Individuals and Dogs Involved:
If names or information are not known, please provide as much information as possible so that we may try to determine all of the other parties that may have been involved, their dog's name(s), and anything that may be pertinent.
Owner's/Handler's Name:
Owner's Email Address:
Owner's Phone #:
Dog's Name:
Dog's Breed:
Dog's Color/General Description
Describe the incident:
Were there any other witnesses to the incident? (Please put names, dog names, anything that will help us identify.)
List any other additional information that may assist us in this investigation:
Description of injuries to humans:
Description of injuries to dogs:
Actions taken:
Note: All incidents will be handled in as timely a manner as possible. The Board will review each report and make a decision on a case-by-case basis.  Not all outcomes/decisions/information will be known to all parties, as we endeavor to protect the privacy of our members. 
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