Neglect/Abuse Complaint Form

Download printable Neglect/Abuse Report here.

Date of Complaint: _____________ Time of Complaint: ________________

Name of person taking the complaint: __________________________________

The report was received:

Through email:_____________
Over the phone:_________________
In person (location) __________________
Other (describe): ______________

Name of complainant: ______________________________________________

Contact information of complainant: ___________________________________
________________________________________________________________

Physical address of animals: _________________________________________
________________________________________________________________

Directions to animals:

___________________________________________________________

Approximate number of horses: _______________________________________
Approximately number of donkeys: ____________________________________
Approximate number of mules: _______________________________________
Number and type of other animals: ____________________________________
________________________________________________________________

Description of the animals’ condition:

___________________________________________________________

Has this been reported to any other agencies? If so, what agency, when was it reported, and who did the complainant speak to?

___________________________________________________________

Additional notes:

___________________________________________________________