REPORT OF ANIMAL ABUSE OR NEGLECT
PLEASE TELL US ABOUT YOU. YOUR INFORMATION WILL NOT BE SHARED PUBLICLY.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
WHERE IS THE ABUSE/NEGLECT HAPPENING?
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
OTHER REPORTS
Have you reported this to any other agency?
*
Yes
No
If yes, please tell us which agency, when the report was made, an any other information you can provide.
TELL US ABOUT THE SITUATION
What kind of animal is it?
*
Dog
Cat
Horse
Chickens/Ducks
Cattle
Pigs
Other
Describe what you know of the animal's living situation:
*
For how long has this been going on?
*
What can you tell us about the owner/caregiver?
*
Please upload pictures, videos, or recordings here:
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Is there anything else we should know?
*
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