Animal Cruelty Complaint Form


If are reporting an emergency, or that an animal is it about to be imminently injured or killed,


and request immediate police response








*First Name:
Your Name Will Remain Confidential
*Last Name:
Your Name Will Remain Confidential
Number Will Remain Confidential
*Type of Complaint
(ie. Neglect, Physical Abuse, Abandonment, Animalfighting)
Type of Complaint Required
*Location of Cruelty
(Please be specific as possible):
Location Required

* Description of Location
(ie. single-family residence, business, apartment complex):

Description Required
*Date of Cruelty
(Month(s), Day(s), Year(s)):
Date Required
* Name of Person You are Reporting
(Persons(s) Your Complaint is Against - If unknown, enter "Unknown"):
Name Required
Person being Reported Address:
Person being Reported Town:
Person being Reported Phone:
*Kind of Animal(s):
Kind of Animal(s) Required
*Number of Animal(s):
Number of Animal(s) Required
Animal(s) Owner:
Animal(s) Present Location:
*Summary of Your Cruelty Complaint (Please be as detailed as possible):
Summary Required
*Have you reported this complaint to any other agency?

If so, what were the result?

* Required

After submitting complaint form if you are not forwarded to cruelty complaint accepted page,

please recheck form to verify that all required fields have been answered

and submit again