Humane Society of Missouri - http://www.hsmo.org

Report Abuse and Neglect
fields marked with * are required

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.
Your name: (optional)
Your address: (optional)
Your city: (optional)
Your state: (optional)
Your zip: (optional)
Your phone: (optional)
Your e-mail: (optional)

Thank you for reporting abuse and neglect of animals. If you would like to help even more animals in need, please make a secure online donation.

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2004 Humane Society of Missouri (314) 647-8800
Headquarters: 1201 Macklind Avenue St. Louis, MO 63110