KNOX COUNTY CENTRAL DISPATCH
WILDLIFE, LIVESTOCK AND OTHER ANIMAL OWNER INFORMATION
Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Alternative Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Today's Date:
Are you a rescue or take in variety of animals?
Yes
No
IF YES, NAME OF ORGANIZATION:
TYPE(S) OF ANIMALS:
Number of Animals
Where are animals located on property?
Is there emergency access for First Responders?
Yes
No
If Yes, location:
ALTERNATIVE CONTACT #1
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
ALTERNATIVE CONTACT #2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Please update once a year
Thank you.
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