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Service Request Entry - Stray Animal

Please complete as much information as possible and click the Review button.

( ** Mandatory fields have red labels. )


Location:  

Supporting Information

If this is to report a COYOTE Interaction Please change code to CIAC
Describe the Animal (size, color, breed, etc)
Is the animal confined?
Exact location of animal (backyard, street, house)?
What time of day is animal normally in area ?
Input cell # to opt-in for text updates. If opted-in, add cell # to caller info.


Caller / Contact Information
First Name Last Name
Street Address
Address 2
City
E-Mail Address
Contact Type Contact Number   Extension/Comments