Forms • Other Animal Control Issue

Problem Location

Description of problem:*

Street Number and Name:*

Address Line 2:

Hamlet or Zip Code:*

Additional Information for Location (identifying landmarks, nearest intersection, etc.):

Photograph:

Wildlife or Domesticated animal?

Wildlife

Domesticated

Animal:

Does it have a visible collar?

	Yes
	No

Unknown

Can any identifying tags be seen on collar?

	Yes
	No

Unknown

Color(s) of animal(s):

Your Information

Name:

Street Number and Name:

Address Line 2:

Zip Code:

Phone Number:

Email Address:

* indicates required fields.