Chesterfield, NY · Essex County
Dangerous Dog Complaint Under Section 123
This complaint lets a person report an alleged dangerous dog to a justice or judge, or to a dog control officer, under the provisions stated on the form.
What this form is
The form records the complainant’s name and address, the dog owner’s name and address, the alleged attack, its date and location, and the dog’s license number. The complainant asks that the dog be dealt with under Section 123 of the Agriculture and Markets Law. It also includes a section for a dog control officer to affirm a complaint and request action when there is reason to believe the dog is dangerous.
Who needs it
A person making a dangerous dog complaint, or a dog control officer or police officer completing the officer section, may use this form.
How to submit it
The form is addressed to a justice or judge and also identifies a dog control officer as a recipient. It gives no submission address or other contact details.
About notarization
This document is signed without a notary; the complainant and any officer completing the second section affirm their statements under penalty of perjury.
How to submit this form
- 1
Download The Complaint
Download the Dangerous Dog Complaint Under Section 123 form.
- 2
Complete The Complaint
Enter the complainant and owner details, dog license number, and information about the alleged attack; sign and date the complaint.
- 3
Review The Officer Section
If a dog control officer or police officer completes the second section, that officer affirms and signs it.
- 4
Submit The Complaint
The form is addressed to a justice or judge and also identifies a dog control officer as a recipient; it lists no submission address.
Frequently asked questions
- Do I need a notary for the dangerous dog complaint?
- No. This document is signed without a notary; the complainant and any officer completing the second section affirm their statements under penalty of perjury.
- How do I submit the dangerous dog complaint?
- The form is addressed to a justice or judge and also identifies a dog control officer as a recipient. It does not provide a submission address or other contact details.
- What information does the complaint ask for?
- It asks for the complainant’s and dog owner’s names and addresses, the dog’s license number, and details about the alleged attack, including its date and location.