CHS Investigation

Name of owner (if known)

Street address where located(Required)

Apartment or Unit #

City(Required)

County

Zip code

Please describe the animal(s) that are being cruelly treated and/or neglected

When did you observe this incident?(Required)

Please give a description of your observations of the cruelty/neglect that you have observed in as much detail as possible.

If you do not leave this contact information, no follow-up information can be provided back to you.

Your Name(Required)

Your Street address(Required)

Apartment or Unit #

City(Required)

State(Required)

Zip code(Required)

Home Phone

Other Phone