Animal Cruelty / Neglect Complaint Form

Describe the Animal Cruelty or Neglect : 

Is this happening right now? If not now, when?

How long has this problem existed?

Animal’s name and description : 

Is the animal hurt or dying right now?
If yes, specifically what do you see that makes you believe that?

Name of animal owner : 

Phone # of owner : 

Address of owner : 

Bld/Unit/Apt. # : 

City : 

Zip : 

Address of where violation is occurring, if different : 

Description of house or property : 

Development Name : 

Gate Code : 

What is the closest major intersection?