2. Type of Incident*

   1. Injured animal
   2. Pick up animal
   3. Nuisance animal
   4. Animal cruelty
   5. Loose livestock

   1. Too many animals
   2. Stray
   3. Wildlife (coyote, feral hog, bat)
   4. Dead animal
   5. Other
4. Type of Animal

   1. Dog
   2. Cat
   3. Other
6. Number of animals:
8. Color of Animal

   1. Brown
   2. Black
   3. White
   4. Tan

   1. Red
   2. Gold
   3. Gray
   4. Other
10. Approximate size of the animal:

    1. Small (less than 20 pounds)
    2. Medium (20 to 50 pounds)
    3. Large (more than 50 pounds
12. Please provide any additional details:
14. Provide the address of where the incident occured:*
16. First Name*
17. Last Name*
19. Your Email Address
20. Your phone number:*
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23. Email address

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