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 *
Your answer
Membership Number *
Your answer
Email Address *
Your answer
Contact Number *
Your answer
Dogs UKFL Number *
Your answer
Incident Date *
MM
/
DD
/
YYYY
Event at which the Incident Occurred *
Your answer
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)
Your answer
Box details (if appropriate)
Your answer
Race number (if appropriate)
Your answer
Summary of Incident *
Your answer
Witness 1 Details *
Your answer
Witness 2 Details *
Your answer
Witness 3 Details *
Your answer
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