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 a valid email/phone as we may need to follow up with you on your request.
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.
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