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2. Upload a picture of your lost pet:
4. Type of Pet

   1. Cat
   2. Dog
   3. Other
5. If other, please clarify:
7. Breed (if Known)
9. Sex

   1. Female
   2. Male
10. Spayed / Neutered

    1. Yes
    2. No
11. Declawed

    1. Yes
    2. No
12. Coat

    (Check all that apply)

    1. Short
    2. Medium
    3. Long
    4. Smooth
    5. Wire-Haired
    6. Curly
14. Collar

    1. Yes
    2. No
15. Type of Collar

    1. Nylon
    2. Leather
    3. Other
16. If other, please clarify:
18. Tags on Collar

    1. Yes
    2. No
19. If yes:

    (check all that apply)

    1. Rabies
    2. Name Tag
20. Microchipped

    1. Yes
    2. No
    3. Unknown
21. Microchip Number
23. Tattoo

    1. Yes
    2. No
24. Approximate Weight
25. Size
26. Age
28. Markings, Scars, Etc.
30. Date & Time Lost
    Date & Time Lost

    Date & Time Lost
31. Last Known Location
33. Owner Name
35. Owner Address
37. City
38. State
39. Zip Code
41. Owner Phone
42. Owner Email
44. May we release your contact information to potential finder of this pet?

    1. Yes
    2. No
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field