"Pet Dealer License Complaint Form" - New York

Pet Dealer License Complaint Form is a legal document that was released by the New York State Department of Agriculture and Markets - a government authority operating within New York.

Form Details:

  • The latest edition currently provided by the New York State Department of Agriculture and Markets;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Agriculture and Markets.

ADVERTISEMENT
ADVERTISEMENT

Download "Pet Dealer License Complaint Form" - New York

708 times
Rate (4.5 / 5) 35 votes
NEW YORK STATE
DEPARTMENT OF AGRICULTURE AND MARKETS
DIVISION OF ANIMAL INDUSTRY
10B AIRLINE DRIVE
ALBANY, NEW YORK 12235
PET DEALER LICENSE COMPLAINT FORM
Items marked with an asterisk (*) are required.
ESTABLISHMENT INFORMATION
Establishment Owner
_______________________________________
*Establishment Name
_______________________________________________________________
*Establishment Address
_______________________________________________________________
*City, State and Zip Code
_______________________________________________________________
County
_______________________________________
COMPLAINANT INFORMATION
*Date complaint submitted
___________________________________
*Complainant Full Name
_______________________________________________________________
*Complainant Address
_______________________________________________________________
*City, State and Zip Code
_______________________________________________________________
*Contact phone number
(__________) ________________-_________________
Ext. _______
*
Purchase / Observation (circle and print date) _______________
Breed and Sex _________________/_______
AMT$
DESCRIPTION OF COMPLAINT:
NEW YORK STATE
DEPARTMENT OF AGRICULTURE AND MARKETS
DIVISION OF ANIMAL INDUSTRY
10B AIRLINE DRIVE
ALBANY, NEW YORK 12235
PET DEALER LICENSE COMPLAINT FORM
Items marked with an asterisk (*) are required.
ESTABLISHMENT INFORMATION
Establishment Owner
_______________________________________
*Establishment Name
_______________________________________________________________
*Establishment Address
_______________________________________________________________
*City, State and Zip Code
_______________________________________________________________
County
_______________________________________
COMPLAINANT INFORMATION
*Date complaint submitted
___________________________________
*Complainant Full Name
_______________________________________________________________
*Complainant Address
_______________________________________________________________
*City, State and Zip Code
_______________________________________________________________
*Contact phone number
(__________) ________________-_________________
Ext. _______
*
Purchase / Observation (circle and print date) _______________
Breed and Sex _________________/_______
AMT$
DESCRIPTION OF COMPLAINT: