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Do You Have a Question or Concern About Farm Animal Care?

If so, please provide the following information. Name, phone and email are required so we can follow up in a timely manner. This information will remain completely confidential unless you sign a written release.

First Name

Last Name

Phone (mobile preferred)

Address

Got a General Question? Ask it here!

Animal Care Provider Name (if known)

Animal Care Provider Farm Name (if known)

Animal Care Provider Phone (mobile preferred)

Animal Care Provider Address

Other type of animal involved

Type of animal care concern: (select all that apply)

Inappropriate feeding

Inappropriate handling

Inappropriate shelter

Inappropriate health care

Other type of animal care concern

County in which the animals are located

Have you contacted the owner regarding this concern?

Yes

Have you contacted local law enforcement regarding this report?

Yes

Do you have any documentation regarding this concern?

Yes

Does anyone else have information regarding this specific concern?

Yes

Do you want us to follow up with you regarding the outcome of this report?

Yes

Is there additional information that would be helpful for our response team to address this case?

Yes

Please keep me informed by email of any information regarding animal care practices.

Yes