Item 8-h - Unified Animal Control Ordinance Amendments

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Attachment 2 For office use only: APPLICATION FOR REVIEW OF DECLARATION Date received: Orange County Animal Services, NC Date completed: Note: Declarations are eligible for review annually, 6 months after the first inspection. Assessment by an accredited trainer or behaviorist is required for review. Review is not permitted if any violations of the county's animal ordinance or applicable state laws have occurred within the preceding 18 months. Section I: Owner's full name: Address: City: State: Zip Code: Phone: Email: Pet's Name: Sex: (circle one) Male Female Neutered Male Spayed Female Pet's color: Breed: Section II: What declaration is under review? Please refer to the original declaration and mark each box that applies below: ❑ Without provocation has bitten, killed or caused physical harm through bite(s)to a person; or ❑ Without provocation has attempted to bite a person or cause physical harm through bite(s)to a person; or ❑ Without provocation has injured, maimed or killed a pet or domestic livestock, except where such animal has bitten or killed a pet or domestic livestock that is on the land of another without permission or is defending a person; or ❑I Has been deemed potentially dangerous or dangerous in accordance with N.C. Gen. Stat. Chapter 67, Article 1A. Dangerous Dog. Did you submit an appeal after this declaration was made? ❑Yes ❑ No If so,when was that appeal hearing held? Section III: How do you manage and house your pet? Describe any training you've done with your dog since the dog was declared dangerous. With whom did this training take place?