HomeMy WebLinkAboutDog Designation Appeal Hearing Request FormCITY OF KITCHENER
Dog Designation Appeal Hearing Request Form
The original copy of the Notice of Appeal Form must be received on or before 5:00 p.m. on the final date for
appeal at: City of Kitchener, Legislated Services, Attention: Dog Designation Appeal Committee Secretary,
200 King St. W., Kitchener, ON N2G 4G7.
Appeals received after the date of appeal listed on the Designation will not be processed and will not be
heard by the Committee.
Note: If you request an appeal hearing:
you will receive a Notice of Hearing to attend the Dog Designation Appeal Committee meeting;
the Notice of Hearing will be sent by Registered Mail only to the address you provide below;
the recommendation of the Committee is not final until ratified by City Council; and,
City Council may confirm, rescind, modify, or substitute any recommendation from the Committee.
DOG OWNER (APPELLANT) INFORMATION
Last Name: First Name:
Address:
Street Address
Apartment/Unit #
City
Province Postal Code
Phone: Email:
CO-OWNER (CO-APPELLANT) INFORMATION
Last Name: First Name:
Address:
Street Address Apartment/Unit #
City Province
Postal Code
Phone: Email:
DOG DESIGNATION INFORMATION
Date Designated:
Type of Designation: POTENTIALLY DANGEROUS DANGEROUS PROHIBITED RESTRICTED
Appealing: the entire designation only specific conditions of the designation
Please outline the reason for your appeal including any concerns with specific conditions of the designation:
PRE-HEARING REQUEST
The Animal Welfare Agency South Central Ontario -
laws; accordingly, will represent the City at the appeal hearing. The Animal Welfare
officer may be called as a witness by the Legal Services at the appeal hearing.
Please indicate below if you would like to meet with in advance of the appeal
hearing to discuss the designation. Please note, sent you and will not
provide you with any legal advice.
Yes No
Signed this _______ day of ______________, 20___.
Dog Owner(s)
____________________________________
____________________________________