Please complete the online form below to submit your request for service/complaint. DO NOT USE THIS FORM TO REPORT AN EMERGENCY. The information provided is confidential.

Your Contact Information

Name:*

Address:*

City:*

State: *

Zip:*

Home Phone Number:*

Daytime Phone Number:

Email Address:*

Problem Report Information

Type of Complaint / Concern*

Animal Cruelty/Welfare Check Agressive Animal (non-emergency) Animal Running Loose Animal in Trap Pickup Confined Stray

Speak With Animal Control Officer Customer Service/Employee Dead Animal Other

Street Address*

City*

Zip*

Nearest Cross-Street

Please Describe your Concern / Request*