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2. Please fill out the following information to report your lost animal. The more information you provide us, the more likely it is that we can find your pet or animal.
4. Date Animal was Lost
5. Type of Animal

   1. Dog
   2. Cat
6. Gender

   1. Male
   2. Female
8. Breed of the Animal
9. Color of the Animal
11. Is the animal spayed?

    1. Yes
    2. No
13. Description (include scars, collars, or any unique marking)
15. Area Animal Was Lost
17. Additional Comments (Please enter any other applicable information)
19. Name
20. Phone Number
21. Fax Number
22. Email Address
24. Address
25. City
26. State
27. Zip Code
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field