Animal Complaint

Warning - It is illegal to file a false police report!

Falsely reporting a crime is defined as informing a law enforcement officer or a state investigative agency that a crime has been committed, knowing that such information is false and intending that the officer or agency shall act in reliance upon such information. (KSA 21-3818)

Try to make your report as accurate as possible, and fill in as many of the requested fields as you can. If your information is incomplete, or you're not positive about a particular detail, we'll be glad to discuss that with you after you submit your complaint.

Red fields are required.

Occurrence Information

Email Address *

Location of Occurrence *

Date Occurred *

Time Occurred *

Reporting Person

Name *

Address Line 1 *

Address Line 2

City *

State *

AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code *

Home Phone *

Work Phone

Additional Witness Information

Name

Address Line 1

Address Line 2

City

State

AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Home Phone

Work Phone

Owner Information

Name

Address Line 1

Address Line 2

City

State

AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Home Phone

Work Phone

Complaint Information

Description of the Animal

Complaint Description (Briefly describe the basis of the animal complaint.)

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