mc600_001

COURT TELEPHONE NO.: FOR COURT USE ONLY COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. To keep other people from seeing what you entered on : your Calendar No. form, please press the Clear This Form button at the ATTORNEY FOR (Name): : end of the form when JUDICIAL SUBPOENA finished. COURT NAME: Plaintiff(s) STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): -against- : : : PETITIONER: RESPONDENT: Defendant(s) : ...................................................... CASE NUMBER: PETITION TO DETERMINE IF DOG IS Potentially Dangerous 1. Petitioner (name): Vicious PETITION REFERRED TO ADMINISTRATIVE AGENCY FOR HEARING THE PEOPLE OF THE STATE OF NEW YORK TO (representative capacity, if any): DATE DEPUTY CLERK requests a hearing under Food and Agricultural Code section 31601 et seq. to declare a dog to be potentially dangerous or vicious. 2. Respondent (name): (address): GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of is the owner or keeper of the following dog (briefly describe dog and give license number, if available): in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 3. An animal control officer or a law enforcement officer has investigated and determined that probable cause exists to believe that the the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a dog is potentially dangerous or vicious. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to result of your failure to comply. 4. Potentially dangerous dog Petitioner requests that the dog be declared to be "potentially dangerous" for the following reasons: Witness, Honorable one of the Justices of the a. The dog, unprovoked, has on two separate occasions within the prior, 36-month period engaged in behavior that Court in required a defensive action by a person to prevent 20 injury when the person and the dog were off the property of County, day of , bodily the owner or keeper of the dog. b. c. The dog, unprovoked, bit a person causing a less severe injury than described in item 5b. (Attorney must sign above and type name below) The dog, unprovoked, on two separate occasions within the prior 36-month period, killed, seriously bit, inflicted injury, or otherwise caused injury attacking a domestic animal off the property of the owner or keeper of the dog. Attorney(s) for 5. Vicious dog Petitioner requests that the dog be declared to be "vicious" for the following reasons: The dog was seized under Penal Code section 599aa and the owner or keeper was convicted under section a. 597.5(a). b. The dog, unprovoked, in an aggressive manner, inflicted severe injury or killed a human being. Office and P.O. Address c. The dog was previously determined to be and is currently designated as a potentially dangerous dog. After its owner or keeper was notified of this determination, the dog continued the behavior described in Food and Agricultural Code section 31602 or the owner or keeper maintained the dog in violation of Food and Agricultural Telephone No.: Code sections 31641, 31642, or 31643. Facsimile No.: (Continued on reverse) E-Mail Address: Form Approved by the Judicial Council of California MC-600 [New July 1, 1990] Mobile Tel. PETITION TO DETERMINE IF DOG IS No.: POTENTIALLY DANGEROUS OR VICIOUS (Menacing Dog) Food & Agricultural Code, § 31601 et seq. American LegalNet, Inc. www.USCourtForms.com PETITIONER: RESPONDENT: CASE NUMBER: 6. This petition is supported by the following (attach a copy of each document checked): a. Declaration of (name): , law enforcement officer. animal control officer The declaration was made after an investigation and determination that probable cause exists to believe that the dog is potentially dangerous or vicious. A written and verified complaint signed by a member of the public (name): An incident report prepared by (name): Affidavit of a witness to the incident (name): Other (specify): b. c. d. e. 7. Number of pages attached (specify): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. This declaration is made on information and belief. Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) MC-600 (New July 1, 1990] PETITION TO DETERMINE IF DOG IS POTENTIALLY DANGEROUS OR VICIOUS For your protection and privacy, please press the Clear This Form button after you have printed the form. Page two ( Menacing Dog ) Print This Form Clear This Form