Animal Complaint Form

Your Name (required)

Your Email (required)

Your Phone number (required)

Your Street Address (required)

Animal Owner's Name (if known)

Animal Owner's Address (if known)

Description of Owner (if known)

Description of Animal (required)

Date and Description of Offense, Location of Offense (required)

I affirm under the penalty as specified by IC 35-44-2-1, that the foregoing representations are true. (required)

Please enter the following characters in the space below.