Report Animal Cruelty

 

Please provide the following information (*Indicates a required field):

Animal(s) Description
What type of animal(s) is it?  Bird  Cat(s)  Dog(s)
 Rodents  Reptiles  
What size is the animal(s)?  Small  Medium  Large
What color is the animal(s)?  White  Black  Brown
 Tan  Gray  Orange
 Yellow  Gold  Red
 Green  Blue  
 Other: 

Type of Complaint
Does the animal have shelter?  Yes  No  
 Other
Does the animal have water?  Yes  No  
What are the sanitary conditions?  Dirty  Feces  Weeds
 Flies  Trash  Hazards
Does the animal have a skin condition?  Hairloss  Sores  
 Other:
Describe the physical condition of the animal?  Thin  Ribs  Backbone
 Hips  Shot  Cut
 Stabbed  Beaten  Injured
 Other Injury: 
 Sick  Disease  Cough/ Sneeze
 Other:  
Where is the animal injured?  Head  Back  Legs
 Rear  Tail  
 Other: 

Suspect Info
Suspect Name (if known)

Suspect Address *

 Street *
 City *
State *       Zip:  
Phone (if known):

Suspect Description

Your info (not necessary if you want to remain anonymous)
Your Name
Your Address Street
City     St 
Zip      Phone
Your Email Address
Do you wish to remain anonymous?  Yes  No  

Other Information
Additional Info
Vehicle Type (if any vehicle was associated with the animal and the suspect)  Car  Van  Truck
Color
Make & Model

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