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Please describe the incident(s) using the below fillable field. Include details of the incidents(s), descriptions of any defensive action that was taken to prevent bodily injury, any attack(s) by the animal(s) including any animal bites against other people or domestic animals, and all other relevant information including any witness name and identification. If reporting an animal nuisance, including but not limited to, barking complaints, animal running at large, or attacks on livestock, describe the nuisance, including dates and times and locations when the nuisance occurs, as well as owner information.

I have been made aware of Sonoma County Animal Services procedures in regard to the incident(s) specified above. Under penalty of perjury, I declare that the above narrative statement.