Welfare Complaint Form

We will keep your information private. We do not disclose to the subject of the complaint your identity.

Complainant's First Name
Complainant's Last Name
Complainant's Phone Number
First name of animal owner, if known.
Last name of animal owner, if known.
Address where the animal(s) are being kept. *
Does the animal(s) have shelter?	Yes No Unknown
Does the animal(s) have access to water?	Yes No Unknown
Does the animal(s) have access to food?	Yes No Unknown
Have you witnessed any striking, kicking, or other physical means of abuse to the animal?	NoYes
Please list the species, colors, and other identifiers of the animal(s).
Please list any other information that you feel is helpful to our investigation.
If you know the best time to contact the owners of the animals, please list that here