Your Email (required)

Subject

First and Last Name (required)

Your Street Address (required)

Your City (required)

Daytime Phone Number 1 (required)

Daytime Phone Number 2 (optional)

Date of Incident

Time Incident Occurred-specify a.m. or p.m. (required)

Physical Address of Complaint (required): This location can be where the incident occurred or where the animal lives. If you do not have an address, please provide general location such as cross streets.

Please Describe Your Complaint in Detail (required): Include a description of the animal(s), breed, coloring, etc., and details about what happened.

Have you made a previous complaint to Animal Services about this problem?
YesNo

Would you like someone from Animal Services to contact you? (Please note that officers will generally contact you during regular business hours, Monday - Friday.)
YesNo