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2. Animal Welfare Report
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Phone
16. Email
18. “*You may remain anonymous, however, if you would like to be contacted by Animal Control you will need to leave an email or telephone number.”
20. I wish to be contacted by an Animal Control Officer*

    1. Phone
    2. Email
    3. No
22. Details
    Please enter the details of the animal welfare concern in the area provided. Please include details about location, animal type and description, as well as the issue of concern. REMEMBER: If an animal is in immediate danger, please call 911.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field