Complaint Report Form - Cruelty Date of complaint or concern * Time of concern Type of animal * Cat Dog Bird Reptile Other companion animal Horse Cattle Sheep Poultry bird Other farm animal Your Name Your information is required for any follow up questions or if you wish to contact us for updates on the complaint. (Please indicate an alternate number you can be reached). Thank you for your concern for the animal in your community. Your Email Address Your Contact Number Alternate Contact Number Complaint Type * Abandonment Abuse Hoarding Inadequate Shelter Neglect Tied Up Unsanitary Conditions Owner's Name (if known) Owner's Address * Town/City * Dwelling Type Apartment Single Story House Multi-Story House Mobile Home Duplex Other Description of Animal: Place of Offense Business Car Fair/display Kennel/Boarding Outside Residence Details regarding the Animal Welfare Concern: * Complainant Name Complainant Name First First Last Last Complainant Phone Number (Please indicate a phone you can be reached at) Captcha Submit If you are human, leave this field blank.
