Animal noise nuisance complaint

Postal Address Customer Service Internet and Email

PO Box 3021 Ph: 131 872 www.tr.qld.gov.au
Toowoomba QLD 4350 Fax: 1800 448 882 info@tr.qld.gov.au

ABN: 99 788 305 360

Complainant details: (Please note that incomplete complaints may not be investigated)
Name: ___________________________________________________________________________________________________
Residential Address: ________________________________________________________________________________________
Postal Address: ____________________________________________________________________________________________
Home Number: ____________________ Mobile: _______________________ Work: ____________________________
Note: Contact numbers which you provide may be used to update Council’s records.

Complaint information:

Location of property where noise is occurring: ___________________________________________________________________

Number of animals at the property: ___________________________________________________________________________

Details of the nuisance animal/s:

Breed: ___________________________ Colour: _______________________ Size: _____________________________

Breed: ___________________________ Colour: _______________________ Size: _____________________________
Breed: ___________________________ Colour: _______________________ Size: _____________________________

Council Officers are required to witness the noise nuisance. Can you suggest suitable days and times Council may conduct
assessments?: _____________________________________________________________________________________________
__________________________________________________________________________________________________________
How has the animal noise nuisance effected your quality of life? ____________________________________________________
__________________________________________________________________________________________________________
Have you approached the owner about the nuisance animal/s? Yes No
Date of contact: __________________ Type of Contact: _____________________________________________
Have you sighted the animal/s making the noise? Yes No
When did the noise nuisance first become noticeable? ____________________________________________________________

Customer summary:

I acknowledge that this information provided by me will be used by Toowoomba Regional Council as evidence to substantiate
the animal noise nuisance from the address provided. .

Signature: ____________________________________ Date: ______________________________________________________

Privacy statement:

Toowoomba Regional Council is collecting this information for the purpose of assessing your animal noise complaint. The collection of this information is
authorised under the Local Government Act 2009. The information will not be given to any other person or agency unless required by law.
Animal noise nuisance diary:

This diary must be completed for 7 days prior to forwarding to Council (please attach further diary details if required).

Day of Week Date Time nuisance Duration of Can you offer any reason for the
occurred nuisance nuisance
(in am/pm) (in minutes and e.g. visitors on property, vehicle noise,
seconds) owner not home
Example:
Thursday 06/10/2016 7:45am 4 minutes 32 seconds Owner left for work
Day of Week Date Time nuisance Duration of nuisance (in Can you offer any reason for
occurred (in am/pm) minutes) the nuisance e.g. visitors on
property, vehicle noise, owner
not home