Dog Bite Incident Report


Complete the following to report a dog bite or scratch. 

Victim Contact Information

Dog Information

Attack Information

Injury Information


By submitting this report I certify that the above information is true and correct under the penalties of perjury.  I am aware that any false information may result in nullifying this report and legal action may be taken. I will not hold Houston Area Doberman Rescue, Inc. or any of its representatives, volunteers or agents financially or legally responsible for any injury.  

If you are using a phone or tablet to complete this application, simply sign your name below. If you are using a computer, use your mouse to write your name below.

Click submit once. It may take up to 30 seconds for the screen to change. Do not click submit more than once.