HSSI Lost Animal Report

Your Information We require complete contact information so that we may reach you in the event we receive an animal that matches your report.
Today's Date *
First Name *
Last Name *
Home Phone * This should be the primary phone we should use to contact you if needed.
Mobile Phone Optional
Work Phone Optional
Email * If you do not have an email address, or are not wiling to share one with us, then please file your report by telephone.
Address * Please enter your current postal mailing address. Use additional lines for PO Box or Apartment Number.
City *
State *
Zip Code *
Lost Animal's Information Your lost animal report will be kept on file for a period of 30 days.
Type of Animal * To report other types of animals, please call the shelter.
Age Group *
Sex *
Color *
Date Lost *
Animal Description * Please describe any markings or distinguishing features that your animal may have.
Area Lost * Please describe the area in which the pet was lost, such as home address, neighborhood, park, nearby business, or other information that may help us match your pet to animals brought in to us.
Zip Code Where Lost If known, supply the zip code of the area in which the pet was lost or most recently seen.
Microchip Leave blank if no microchip. Provide Microchip number if known.
Age Actual age, or best estimate if unknown.
Spayed/Neutered Is your missing animal spayed or neutered?
Collar Was your animal wearing a collar at the time they went missing?
Collar Color
Animal's Name
Additional Notes Provide any additional information you think may be helpful.
Breed Select a breed below that you think most closely matches what other people might say your missing animal is.
Photo Upload a photo of your lost pet.

Humane Society of Southern Illinois | 95 Humane Road, Murphysboro, IL 62966 | 618-457-2362

HSSI Lost Animal Report

Your Information

Lost Animal's Information