Animal Complaint Form

For emergency situations, please call 911 or Animal Law Enforcement at 719.302.8798

Complainant Information

Complainant's Name

Primary Phone Number

Alternate Phone Number

Date of Birth

Race

Sex

Drivers License/ID No. and State

Address

City

State

ZIP Code

Additional Witness Information

Witness Name

Primary Phone Number

Alternate Phone Number

Date of Birth

Race

Sex

Drivers License/ID No. and State

Address

City

State

ZIP Code

Animal Information

Breed/Type of Animal

Animal Size

Animal Hair Length

Animal Color(s)

Animal Markings

(if known)

Owner's Name

Owner's Address

City

State

ZIP Code

Violation Information

Location

City

State

Date of Violation

Start Time

End Time

Statement of Events

Additional Evidence

Maximum 10 files.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, txt, rtf, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, avi, mov, mp3, mp4, ogg, wav.

Your Signature

***Prior to submitting this document please be sure you have read the instructions. This form is a legal and binding document. By entering your name and submitting this form, you are acknowledging that the facts contained within are true and correct to the best of your knowledge.***

Type your name below to sign the form.

Signature: