Bermuda SPCA Incident Form

SPCA INCIDENT FORM FOR CRUELTY, WELFARE AND NON-URGENT COMPLAINTS. *******DO NOT USE THIS FORM FOR URGENT CALLS, THE SUBMISSIONS ARE NOT CHECKED DAILY****. FOR EMERGENCIES PLEASE CALL 236-7333. . FOR STRAY DOGS PLEASE CALL 239-2327 (DAY) OR 295-0011 (NIGHT). . FIELDS MARKED BY AN ASTERISK ARE MANDATORY. . IF YOU ARE UNABLE TO COMPLETE THIS FORM THEN YOU CAN CALL US ON 236-7333 TO REPORT.

Your Surname *
Your first name
Your Title *
Address
Date of incident *
Your home phone number (so the officer can call you to get further details - we need further details in 95% of initial reports we receive) If you cannot provide a number then please call us to report instead on 236-7333
Your cell number - if you don't have one please state so. *
Your email (so we can advise you of next steps and update you). If you are unable to leave an email address then please call the SPCA on 236-7333 to report by phone *
The address where the incident is happening. You can describe the house, house colour, directions etc. Please include the Parish * scfbdbdgb
The name, address and other details of the suspect if known
Suspect's address (if different from where the incident is happening)
Description of suspect if known (age, height, build, colour, gender, clothes, tattoos, hair colour etc)
Vehicle descripiton and licence plate
What happened or is happening? Include the type, colour, description of any animals. *
How can the officers view the incident if still happening *
Do you have photos or video? *
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*	Declaration - I declare all the information given to be true to the best of my knowledge

PLEASE NOTE - THESE FORMS ARE NOT REVIEWED DAILY. FOR EMERGENCIES PLEASE PHONE YOUR CALL IN ON 236-7333