Login/register

Search Site

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)

How would you like this complaint to be resolved? (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.* captcha code reload Which Code of Conduct do you think the breeder has breached?: 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)*

Shopping cart

 x 
Cart empty