Diamond In The Rough Pet Recovery
Lost Pet Form - We must have this form submitted in order to work your case.
Date Submitted
*
/
Month
/
Day
Year
Date
Date Pet Went Missing
*
-
Month
-
Day
Year
Date
What Type Of Animal Are You Missing?
*
Dog
Cat
Other
How long has this animal resided with you?
*
Pet's name :
*
Pet's Gender :
*
Please Select
Male
Female
Pet's Approximate Weight :
*
Pet's Breed :
*
Color, Description, Unique Markings, etc :
*
Does your pet have any medical issues that we need to be aware of?
*
Please Select
Yes
No
If yes, please give details below.
Medical Issue Details :
Did your pet go missing from home or elsewhere?
*
Address/Cross Streets of where the pet went missing :
*
City/Town/Zip Code where the animal is missing from :
*
Animal is :
*
Microchipped
Tattooed
Wearing Collar/Harness
Dragging leash
Wearing Tag w/ Phone Number
Wearing Current Rabies Tag
No ID, Tags, Collar, or Microchip
(For Dogs Only) Temperament Of The Animal :
*
Friendly
Confident
Shy
Skittish
Aggressive (please complete next section as well)
N/A - other animal
If you checked aggressive above, please give details below :
(For Cats Only) Temperament :
*
Friendly
Shy & Skittish
Unfriendly
N/A - other animal
Is your cat :
Please Select
Indoor
Outdoor
Both
N/A
Please include a very detailed report of how your pet got loose and any information that could be helpful for us to know.
*
Are you working with any other individuals/teams who are involved in lost pet recovery (or have you reached out to others)? If so, please include their name(s) below and the reason that you are requesting additional help :
*
We ask this because often times people will reach out when they've already reached out to other teams. We must be in communication with ANY others involved so that we are all on the same page.
Please list everything that you have done so far :
*
Are you the legal owner of this pet (Per Wyoming Statute, proof of ownership is rabies licensing information)?
*
Yes
No
Other
Owner's Name :
*
First Name
Last Name
Owner's Phone Number :
*
Please enter a valid phone number.
Format: (000) 000-0000.
Owner's Email Address :
*
example@example.com
Owner's Address :
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload a photo of your missing animal. Full body photos are best for flyers and social media postings. If you have any issues, please email the photo to DITR.petrecovery@gmail.com
Browse Files
Drag and drop files here
Choose a file
Cancel
of
By signing below, you agree that everything you have told us on this form is true to the best of your knowledge.
*
If it is discovered that we have not been told the truth, we reserve the right to discontinue services being provided to you.
Submit
Should be Empty: