Breeder Name:* MDBA Complaints Form Breeder MDBA#:* Please fill in as much detail as you can. All fields with a red Asterisk must be filled in. Dogs Pet Name:* Registration number of dog if known: Dogs Registered name:* Owner of dog:* Dog DOB:* Complainant Name:* Complainant Phone: Complainant Email: * Reason For Complaint (Please give as much detail as possible)* Please upload supporting documents You MUST upload any vet reports/contracts/documents that substantiate your complaint. You must enter the text shown in the image above into the field below.* Did you have your puppy/dog examined by a vet within 72 hours of arrival?:* Date the complainant purchased the dog/puppy:* Did you have a written contract with the breeder of the dog/puppy?:* I agree that by submitting this form the MDBA will use all of the information I have provided to investigate this complaint and that the member against which I have made a complaint will receive all of the information that I have provided. (You must tick the box to show your agreement)*