I would like to make a complaint or request for service about:(select) Stray Animal Caught Animal Animal Cruelty Dead Animal Animal Waste Dangerous Dog Noise Complaint Dog Tied or Tethered
Date of Violation(mm/dd/yy):
Address or Location of Violation:
Address of Animal Owner (if known):
Details of Complaint or Request for Service:
Description of Animal(s) Involved:
Your Information (this information will be kept confidential):
Your Name:
Your Address:
Your Daytime Phone Number:
Your E-mail Address:
Do you want an Animal Control Officer to visit your home?Yes No