Please fill out completely. All information is needed in order to provide the most appropriate advice & support. You will have an opportunity to add notes at the end of the form. If you are local to our area, we can help with trapping if needed!
Name
*
First Name
Last Name
Your Phone Number
*
Mobile phone best - you will likely receive a text from 443-377-3599
Format: (000) 000-0000.
Email
*
Confirmation Email
You will be automatically added to our mailing list. (You may easily unsubscribe at any time.)
Facebook ID (ex.: Facebook.com/yourname123) or N/A
*
Is this the first time LARG has been contacted about this animal?
*
Please Select
Yes
No
Not Sure
How did you hear about LARG?
*
Please Select
Internet Search
Friend
Social Media
Other
Type of Animal
*
Please Select
Dog
Cat
Rodent/small furry
Bird
Reptile
Other
Are there animals in your home? If so, provide details.
*
Animal is:
*
Please Select
AT LARGE
CONTAINED
Animal is:
*
Please Select
MALE
FEMALE
UNKNOWN
Wearing collar/harness and/or leash?
*
Please Select
YES
NO
NOT SURE
Describe collar/harness/leash
Please provide description of animal-as much as you can. Size/color/behavior, etc
Wearing ID?
*
Please Select
YES
NO
NOT SURE
If contained, has animal been scanned for microchip?
*
Please Select
YES
NO
NOT SURE
NOT CONTAINED
Approximate address where last seen/address where contained
*
Street Address
City
State / Province
Postal / Zip Code
Geographic Location (We are Maryland-based; however, we can help with tips & advice in all areas! For physical help, we may refer you to additional resources in some cases.)
*
Please Select
...
Mid-Atlantic (DC, DE, MD, VA, PA, NJ, WV)
South (AL, AK, FL, GA, KY, LA, MS, NC, SC, TN)
NorthEast (CT, ME, MA, NH, NY, RI, VT)
MidWest (IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI)
SouthWest (AZ, NM, OK, TX)
West (AK, CO, CA, HI, ID, MT, NV, OR, UT, WA, WY)
Please specify your area (COUNTY & STATE)
COUNTY
State:
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please attach up to 3 clear photos of the animal if you have them. Whole body best--these will be used to prepare appropriate equipment/trap & to compare to our database of lost pets to provide hope & reunion!
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Are you working with any other organization/company/person* to help with this animal? If yes please list.
*
*For liability reasons, we may not be able to provide assistance if you are working with some companies not among our resources listed on our website.
Please add any information not already covered here that you would like us to know.
I agree that LARG, its agents and assigns shall not be liable, under any circumstances, for any claims or damages whatsoever while LARG is providing any assistance to me or for claims related to any injury, including death, to person or property of mine, my agents, employees or 3rd parties, regardless of the cause while LARG is providing any assistance to me.
*
I agree
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