If you have a statement to contribute regarding a personal experience relating to a loose dog or dog attack in Brookhaven Township, please use the form below to submit for presentation to local officials:
Your Name (required)
Your Email (required)
Your Telephone (optional)
Subject
Location of Incident (ie Rocky Point)
Date of Incident. Use approximate date if necessary.
Description of Incident
Was a police report filed ? noyes
Was a bite report filed ? noyes
I consent to allow this statement to be presented to local officials (required) yesno
