2. Date Animal Was Found*
   Date Animal Was Found
4. Location Animal Was Found*
8. First Name*
9. Last Name*
11. Address*
13. City
14. State
15. Zip*
17. Email*
18. Phone*
22. About Animal
24. Animal Type

    1. Dog
    2. Cat
    3. Other
25. Breed of Animal
26. Approximate Age of Animal

    1. Newborn
    2. Juvenile
    3. Adult
    4. Senior
28. Sex of Animal

    1. Female
    2. Spayed Female
    3. Male
    4. Neutered Male
    5. Unknown
29. Color of Animal
31. Special Markings?
32. Was Animal Wearing Collar?

    1. Yes
    2. No
33. Collar Color/Type
35. Is Animal Microchipped?

    1. Yes
    2. No
36. Microchip Number
38. Additional Information
40. Upload Animal Photo
42. View Lost Animals Here
    Lost Animals
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field