You must be 18 years of age or older to submit a request
How would you like us to follow up with you? Please provide us with a valid email or phone number, as we may need to follow up with you on your request.
Information needed for Attacks or Bites
If Location is a Business or School, Enter Name:
Information such as injuries received (for attacks or bites), apartment/business location within complex, gate codes to access property, non-major crossroads, description of unknown person that might be the owner of the dog/cat, etc.
* indicates a required field