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Found Pet Report

2. I can keep this pet:*

   Check all that apply

   1. As long as it takes to find the owner
   2. For a few days only
   3. If EAS can provide me with supplies/food
   4. I cannot keep this pet for any length of time
   5. I'd like to adopt this pet if the owner isn't located
3. Supplies needed:*

5. Please contact me to make arrangements to bring the pet to EAS*

   1. No
   2. Yes

7. City pet was found:*

8. Address/cross streets pet was found:*

9. Date and time pet was found:*
   Date and time pet was found:

   Date and time pet was found:

11. What type of pet did you find?*

    1. Cat
    2. Dog
    3. Other

12. Species*

13. Condition of pet:*
    -- Select One --Appears healthyAppears sick or injuredDeceasedUnknownOther

15. Please explain:*

17. Does the pet you found have (please check all that apply)?*

    1. Microchip
    2. License
    3. Rabies tag
    4. Other I.D. tag
    5. No I.D.

18. License number and city/county

19. Microchip number

20. Rabies tag info

22. Other I.D. tag info

24. Is the pet you found wearing a collar?*

    1. Yes
    2. No
    3. Unknown

25. Describe collar

27. Sex*
    -- Select One --MaleFemaleUnknown

28. Spayed/Neutered*
    -- Select One --YesNoUnknown

30. Breed or mix*

31. Approximate size
    -- Select One --under 5lbsbetween 5-20lbsbetween 20-40lbsbetween 40-60lbsbetween 60-90lbsabove 90lbs

32. Approximate age*
    -- Select One --Newborn/unweaned babyWeaned puppy/kittenAdolescent/young adultAdultSenior adult

34. Tail*
    -- Select One --ShortMediumLongKinkedMissing DockedCurledOther

35. Describe tail*

36. Length of coat
    -- Select One --ShortMediumLong

37. Eye color

39. Ears
    -- Select One --ErectDroopyCroppedEar-tippedOther

40. Describe ears*

42. Colors and/or pattern*

44. Additional identifying features

46. Please attach a photo of the pet you found:

    Optional

48. First Name*

49. Last Name*

51. Your Address*

52. Apartment/Unit#

54. Address2

56. City*

57. State*

58. Zip*

60. Phone Number*

61. Alternative phone number

62. Alternative phone number

64. Email address*

Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit Submit and Print

* indicates a required field