Incident Report Form

Overlook Dog Park
Where Lancaster dogs come to play

If you would rather submit your Incident Report by mail, please print this page (Use File > Print on your browser menu), complete the form and mail it to

MTDOG
P O Box 5044
Lancaster, PA 17606

Incident Report forms may also be obtained at the Overlook Dog Park.

Date of Incident:

Time of Incident:

AM or PM?

Your Name:

Your Email Address:

Your Phone Number:

Name or description of Defending Dog Owner:

Name of Defending Dog:

Breed of Defending Dog:

Where did the incident occur?

Name or description of Offending Dog Owner:

Name of Offending Dog:

Breed of Offending Dog:

Please describe the incident.

Names of witnesses, if applicable:

Any other helpful information?