Dog Incident Report Form
Please Note: This form is to be used for any accidents and non complaint based incidents. All incident forms will be filed for future reference if required. Incident forms of a similar or recurring nature may be open to combined further investigation.
UKFL Title *
Name *
Membership Number *
Email Address *
Contact Number *
Dogs UKFL Number *
Incident Date *
MM
/
DD
/
YYYY
Event at which the Incident Occurred *
Was the Event Organiser made aware of the Incident? *
Was the Level 3 Judge made aware of the Incident? *
Surface Incident occurred on (if appropriate) *
Format in which the incident occurred (if appropriate)
Dog's and height and the height the dog was jumping if different. (if appropriate)
Box details (if appropriate)
Race number (if appropriate)
Summary of Incident *
Witness 1 Details *
Witness 2 Details *
Witness 3 Details *
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