Report Abuse and Neglect
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Alleged Suspect / Owner Information
Name:
Address:
City:
County:
State:  Missouri
Zip:
 
*Nature of Complaint
Animal without food
Animal without water
Animal without shelter
Animal abandoned
Medical
Sanitation
other (please specify)
 
Location Information
  *Specific location of animal(s)
  such as address/detailed directions to property 
 
*Animal(s) requiring assistance
Dog(s)  
Description (Breed/Color)
Quantity
 
Cats(s)  
Description (Breed/Color)
Quantity
 
Horse(s)  
Description (Breed/Color)
Quantity
 
Cattle  
Please specify Dairy, Beef or mixed
Description (Breed/Color)
Quantity
 
Other Livestock (Includes bison, ostriches, emus, etc.)
Please specify type
Description (Breed/Color)
Quantity
 
Poultry  
Please specify type
Description (Breed/Color)
Quantity
 
Exotic (Such as tigers, wallabies, alligators, etc.)
Please specify type
Description (Breed/Color)
Quantity
 
Facilities (Such as kennels, petting zoos, exotic parks, etc.)
Please specify type  
 
Comments:
Comments/additional information
that will help us understand the situation:

 

 

Your Information:

We may need to contact you for further information regarding this case.
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Your address:
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Your city:
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Your state:
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Your zip:
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Your phone:
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Your e-mail:
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