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2. Is this a lost animal or a found animal?
3. What type of animal was lost or found?
5. What is the animal's name?
7. Breed:
9. Date reported lost or picked up:
   Date reported lost or picked up:
   Tell us the date that the animal was reported lost or found by you.
10. Date reported to shelter:
    Date reported to shelter:
12. Location found or last seen:
16. Physical Description of Animal
18. Sex:

    1. Male
    2. Female
19. Neutered?

    1. Yes
    2. No
20. Spayed?

    1. Yes
    2. No
21. Size

    1. Small
    2. Medium
    3. Large
    4. Extra Large
23. Eye color?
24. Approximate weight?
25. Tags?

    1. Yes
    2. No
26. Hair length

    1. Short
    2. Medium
    3. Long
28. Tail description:
29. Approximate age?
30. Ears:
    Describe the animal's ears.
32. Markings / Collar / Microchip:
    Describe the markings and collar of the animal, and provide the microchip information if possible.
34. Picture upload
    Upload a picture if available.
38. If Lost, Owner Information
40. First Name
41. Last Name
43. Address1
45. Address2
47. City
48. State
49. Zip
51. Home phone number:
52. Work phone number:
56. If Picked Up, Contact Person
58. First Name
59. Last Name
61. Address1
63. Address2
65. City
66. State
67. Zip
69. Home phone number:
70. Work phone number
74. Special notes:
    Tell us anything else you would like to about the animal that you found or lost.
Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit

* indicates a required field