Animal Services Complaint Form

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Animal Services

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ANIMAL SERVICES

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Animal Services
Complaint Form

Reporter Information (Fields labeled red are required)

First Name

Last Name

Address

City

State

Zip Code

Home Phone ex. (4075551111)

Work Phone ex. (4075551111)

Cross Streets

Subdivision, Apt. Complex, or Business Name

Email Address

When are you usually home?

Owner Information

First Name

Last Name

Address

City

State

Zip Code

Home Phone ex. (4075551111)

Work Phone ex. (4075551111)

Cross Streets

Subdivision, Apt. Complex, or Business Name

Animal Information

Species Dog
Cat
Other

Color(s) ��

Breed(s)

Sex Male
Neutered Male
Female
Spayed Female
Unknown

Comments

What is the animal doing?

Running loose

In the garbage

Damaging property

Barking or other noise

Defecating on private property

Other

Where is the animal?

In my yard

In a neighbor's yard

In the street

In the owner's yard

In the owner's house

Other

When is the problem occurring?

When is the owner home?

Has the animal caused any injuries?

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