Animal Neglect/Abuse Complaint
Complainant name
*
First and Last Name
Phone#
*
Format: (000) 000-0000.
Email
*
example@example.com
Was there a witness ?
*
Yes
No
Witness name
Witness Phone#
Please enter a valid phone number.
Format: (000) 000-0000.
Witness Email
example@example.com
Describe the situation
Owner name
if known
Owner Phone#
Please enter a valid phone number.
Format: (000) 000-0000.
Owner Email
example@example.com
Owner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Were the police contacted ?
*
Yes
No
Do you have any photos ?
*
Yes
No
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