COMMONWEALTH OF MASSACHUSETTS
Franklin County Sheriff’s Office
160 Elm Street
Greenfield, MA 01301
DOG COMPLAINT
G.L. c.140, §157
ANIMAL CONTROL - 02 REVISION DATE: 10/10/19
COMPLAINANT INFORMATION
Name:_____________________________________________ Telephone #: (______) _____________________
Address:_______________________________________________________________________________________
Date and time of Incident:_________________________________________________________________________
Location of Incident:______________________________________________________________________________
Description of Incident:____________________________________________________________________________
DOG INFORMATION:
Dog's Name (if known):___________________________________________________________________________
Description (breed, color, distinctive markings, etc.):_____________________________________________________
______________________________________________________________________________________________
OWNER INFORMATION (if known)
Owner's Name:_____________________________________ Telephone #: (______) _____________________
Owner’s Address:________________________________________________________________________________
COMPLAINT
I, the complainant identified above, state that the dog described in this complaint:
Constitutes a nuisance because it (you must select one of the following):
has a vicious disposition
barks excessively
causes the following disturbance (describe):______________________________________________________
_________________________________________________________________________________________
By reason of its excessive barking/and or other disturbance, constitutes a source of annoyance to the following sick
person (name and address
_________________________________________________________________________________________
_________________________________________________________________________________________
STATEMENT
I understand that my identity will not be released during the investigation and that if the investigation results in a
hearing. I will be required to attend the hearing and make my complaint before the Hearing Authority. This complaint
is made under the penalties of perjury.
_____________________________________ _____________________________________
Signature of Complainant Date of Complaint
Return completed signed complaint to:
Franklin County Regional Animal Control
10 Sandy Lane
Turners Falls, Ma 01376
OFFICIAL USE ONLY
Date Received:___________________________
Case No.:___________________________
