Lost Report Form

Case Information:

Dog's Name: If Fostered, Number of Dog:
Date Reported Lost or Picked Up:
Location Found/Last Seen:

Date Reported to Rescue:

 Date Put into Rescue System:

If Lost, Owner Information:

Name:
Address:

 
City State: Zip Code:
Home Phone #:  Work Phone #: 

If Picked Up, Contact Person:

Name:
Address:

 
City State: Zip Code:
Home Phone #:  Work Phone #: 

Physical Description of Dog:

Sex: Neutered?
Coat Color: Eye Color:
Markings:
Approximate Height: Approximate Weight:
Approximate Age: Dew Claws?:  Front: Back?:
Tail Description:


Actions Taken by Rescue:

Newspaper Ad:
           Attach picture if available 
Local Vets Notified:
Posters in Area:
Postal Workers Notified:
Local Shelters/Humane Societies Notified:

 
Local Schools Notified:

 
Medical Check:

 
Foster Home Arranged: