Animal Information

I authorize that the pet I am reporting on is located or was found in Guilford County and understand that Guilford County Animal Services only responds to calls for service in Guilford County

I Agree

How many animals are involved?

Species:

Breed:

Color of the Pet:

Cruelty / Neglect Information

Date of incident:

Location of incident:

Details of incident:

Owner or Persons Involved

Owner or Person's name(s):

Owner or Person's physical description:

Owner Address

Owner Address line 2

Owner City

Owner State Value is not selected

Owner Zip

Location of animals on property (i.e. patio, balcony, garage, back yard):

Vehicle type, color, make and model, license plate (if applicable):

Additional Information

Animal(s) shelter: Value is not selected

Animal(s) confinement (i.e. chain, cage): Value is not selected

Animal(s) water supply: Value is not selected

Animal(s) food supply: Value is not selected

Sanitation concerns:

Skin/coat condition:

Physical condition:

Physical injuries the animal(s) may have:

Where are the injuries located on the animal's body?

Vet information, if known (name, address, phone):

Any additional information we should know:

Supporting Photos / Documents

Please upload any photos or documents you may have pertaining to this report.

Your Information

No information will be released to anyone outside our agency except by order of the court. Every reporting party is kept anonymous.

Your Name:

Your Email

Your Phone Number

Address

Address line 2

City

State Value is not selected

Zip

Have you contacted your local animal shelter or law enforcement regarding this incident? If yes, provide name of agency or law enforcement, and officers' names, if known:

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