DCAES Service Request Form (Primary)

Animal Service Request Form

DeKalb County Animal Enforcement Services
YesNo
YesNo
Today's Date*

MonthDayYear
Date
YesNo
Name*

First NameLast Name
Your Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Complaint Information
Address of the complaint or incident (please be as precise as possible)*
City of complaint*
Subdivision or closest main street to the incident*
Please describe, in detail, the reason for your request.*
Please provide any additional details, such as description of the home, number of animals, unique identifiers, etc.*
Please upload any relevant photos or videos here.

Cancelof
- Should be Empty:

Animal Service Request Form