We are very sorry to hear of your loss.
As the owner of the animal(s) listed here, I certify that all the information on the first page of this form is accurate. I realize that failure to comply with the regulations and conditions set out in the Town of Cochrane Animal Bylaw 04/2016 can and will result in enforcement action against me.
The personal information on this form is being collected under the authority of section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your personal information may be used by the Town of Cochrane for the purpose the information was collected or compiled orfor a use consistent with that purpose. Your personal and financial information will be managed in accordance with FOIP. If you have any questions about the collection, use, or disclosure of your personal information, please see this link: https://www.cochrane.ca/175/Freedom-of-Information