Neglect/Abuse Investigation Form

Download printable Neglect/Abuse Investigation Form here.

DATE OF INVESTIGATION:

Date:__________________ Time:____________ am____ pm____

Case #: ________________

LOCATION INFORMATION:

Name of Person Being Investigated (if known) _________________________

Address:________________________________________________________

City & State:______________________________ Zip Code:_______________

Directions to the location: ________________________________________________________________

________________________________________________________________

ABUSE / NEGLECT INFORMATION BEING INVESTIGATED:

Complaint:_______________________________________________________

________________________________________________________________

EQUINE INFORMATION:

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

Description of each equine: include body condition, description of injuries or abnormalities, etc.
Description Body Condition Score
__________________________________________ _________________
__________________________________________ _________________
__________________________________________ _________________
__________________________________________ _________________
__________________________________________ _________________
(list additional equines on back of sheet if necessary)

Description of other animals: _________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Description of the conditions: _________________________________________

________________________________________________________________
________________________________________________________________
What food was present and available: __________________________________
What water was present and available: _________________________________
Additional notes: __________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Number of Equines Reportedly at Address (if known):__________________

INVESTIGATOR INFORMATION:

Name:___________________________________________________________

Address:_________________________________________________________

City & State:______________________________________________________

Phone Number:____________________________________________________

Alternate Phone Number____________________________________________

Email Address:____________________________________________________

Investigator Comments & Observations:

Please Add Any Additional Comments or Observations You Feel To Be Relevant:

________________________________________________________________

Photographic Evidence:

Note to investigator: Do not go onto the property where the horses are located – this is trespassing and may jeopardize the case. Take all photos from the road or from a neighbor’s property with the property owner’s permission. You can take either digital or 35mm photos, and you should take as many as possible to demonstrate neglect.

Photographs of Buildings: Barns, Sheds, etc. Yes____ No___

Photographs of Water Source: Yes___ No___

Photographs of Food Source: (Pasture, Hay Bales, Feed, etc) Yes___ No___

Photographs of Fencing: Yes___ No___

Photographs of Equines: Yes___ No___

Photographs of other Animals: Yes___ No___

Other Photographs: Yes___ No___