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Animal Cruelty Form

Larimer Humane Society Animal Cruelty Investigation Form

This form should NOT be used for an emergency complaint. Please contact our Animal Protection & Control Department at 970-226-3647, Extension 1 for emergency assistance, thank you!

Please give a description and location of the incident

Date of incident

Observations and Animal Description:

Street Address of incident

Address of incident (Continued)

City of incident

County of incident

State of incident

Zip/Postal Code of incident

Please tell us how to reach you for more information:

First name

Last Name

Street Address

Street Address (Continued)

City

State

Zip/Postal Code

Home Phone

Work or Other Phone

Email