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Lost Pet Report

2. First Name*

3. Last Name*

5. Date pet went missing:*
   Date pet went missing:

6. What type of pet did you lose?*

   1. Cat
   2. Dog
   3. Other

7. Species

9. Breed or mix*

10. Sex*
    -- Select One --MaleFemaleUnknown

11. City pet was last seen*

12. Address or cross street

14. Colors and/or pattern*

16. Is your pet wearing a collar?

    1. Yes
    2. No
    3. Unknown

18. Describe collar

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

22. Approximate size
    -- Select One --X-Small (under 5lbs)Small (between 5-20lbs)Medium (between 20-40lbs)Large (between 40-60lbs)X-Large (between 60-90lbs)XX-Large (above 90lbs)

23. Approximate age

25. Tail
    -- Select One --ShortMediumLongKinkedMissing DockedCurledOther

26. Describe tail*

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

28. Eye color

30. Ears
    -- Select One --ErectDroopyCroppedEar-tippedOther

31. Describe ears

33. Additional identifying features or information

35. Does your pet have (please check all that apply)?

    1. Microchip
    2. License
    3. Rabies tag
    4. Other I.D. tag

37. Other I.D. tag info

38. Your pet's name

40. Phone Number*

41. Alternative phone number

42. Alternative phone number

44. Email address

46. Please attach a photo of your missing pet

48. Everett Animal Services provides lost and found reports for public viewing only. EAS is not liable for information contained herein or for disposition of animals that are not claimed by their owners in person within 72 hours. Please keep looking, as this report does not replace an owner coming into the shelter on a regular basis to search for their companion animals. While EAS makes every effort to help return missing animals to their homes, EAS is not responsible for notifying any person filling out a lost form if an animal matching this description is brought to the shelter. EAS staff will contact owners of animals wearing traceable identification. Lost and found reports are kept on file for approximately four (4) weeks and are not returned to the reporter. EAS is not responsible for any photographs or other items attached to the report. Thank you for your effort to help an animal in need.

    Everett Animal Services provides lost and found reports for public viewing only. EAS is not liable for information contained herein or for disposition of animals that are not claimed by their owners in person within 72 hours. Please keep looking, as this report does not replace an owner coming into the shelter on a regular basis to search for their companion animals. While EAS makes every effort to help return missing animals to their homes, EAS is not responsible for notifying any person filling out a lost form if an animal matching this description is brought to the shelter. EAS staff will contact owners of animals wearing traceable identification. Lost and found reports are kept on file for approximately four (4) weeks and are not returned to the reporter. EAS is not responsible for any photographs or other items attached to the report. Thank you for your effort to help an animal in need.

50. I acknowledge that by selecting “YES” I have read and understand the above. *
    -- Select One --Yes

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51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field