Report Animal Abuse Form
Please fill the request below
First & Last Name
Email Address
Phone Number
Your Age
Please Select
Please select an option
Below 18
18-39
Above 40
Nationality
Please Select
Please select an option
UAE National
Arab Countries
Foreign Countries
Foreign Country
Are you reporting?
Please Select
Please select an option
Animal Negligence or Lockup
Animal torture or physical assault
Animal Sexual assault
Proceed to kill an Animal or Animal homicide
Threat to remove or removal of stray animals
Others
Specify Other Abuse
Name of the person or company involved in the abuse
Abuser Nationality
Please Select
Please select an option
UAE National
Arab Countries
Foreign Countries
I Don't Know
Abuser Phone Number
Location or City of the incident
Please Select
Please select an option
Abu Dhabi
Al Ain
Dubai
Sharjah
Ajman
Um Al Qiwain
Ras Al Khaimah
Fujairah
Other City
Specify Other Location or City
Date of the Abuse
-
Month
-
Day
Year
Date
Time of the Abuse
Is it a stray animal ?
Please Select
Please select an option
NO
yes
Abused Animal Type
cats
Dogs
Birds
Rabbits
Reptils
Other
How did you find out about the abuse ?
Please Select
Please select an option
Direct exposure or Physical
Someone informed me
Through social media
Please describe in details the abuse
Do you have any evidence ?
Please Select
No
Yes
Describe the evidence
Upload Evidence Images
Browse Files
Drag and drop files here
Choose a file
Cancel
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What action have you done already about it ?
Have you reported it to any authority ?
Please Select
No
Yes
I reported to Police
i-reported-to-police
Specify which Authority
If you have a case number please insert it along what action was taken from their side
In case needed , are you willing to witness at police ?
Please Select
Please select an option
Yes
No
Specify why you are not willing to testify at the police?
Additional Comments
Please Note:In case u face any errors in submitting ur request please email us at info@salamaw.ae.com
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