Bark Record
NAME
..............................................................................................................
ADDRESS
..............................................................................................................
..............................................................................................................
ADDRESS OF DOG
Level of Nuisance
Please prioritise the following times showing which you consider to be the most annoying times the
dog barks:-
1 = High Level of Nuisance 2 = Medium Level of Nuisance 3 = Low Level of Nuisance
11.00 pm to 6.00 am 6.00 am to 7.00 pm
7.00 pm to 11.00 pm
Noise Level of
Barking
Cause of Barking (if known)
Action Taken by
Dog Owner
(according to times
Loud
Whining
Yapping
Muffled
People Walking By
Bored
Owner Out
Territorial of Fence Boundary
None
Chastised
Put Dog Inside
High
Medium
Low
Please Note:
•
USE A NEW SHEET FOR EACH DAY
•
SIGN AND DATE EACH SHEET
•
BE ACCURATE AND PRECISE IN RECORDING TIMES
•
UNTIDY, DILAPIDATED OR ILLEGIBLE RECORD SHEETS WILL NOT BE ACCEPTED
Declaration
I hereby declare that all particulars given by me in this document are true and correct.
Signature Date
Level of Involvement - Are you prepared to attend a hearing as a witness on behalf of the
Masterton District Council in this matter?
(Any complainant who fails to attend a hearing after indicating that he/she would substantiate their
claim, no further action will be taken, and he/she maybe liable for all costs incurred by Council.)