Cruelty Complaint for animal(s) located in Franklin County, Ohio


If you believe you have witnessed a crime involving animals, please provide complete information below to make a report to the Capital Area Humane Society.  Your contact information will be kept confidential.  We need your phone numbers in case we need to contact you with questions regarding your complaint.

Please provide your contact information as the person making the report/complaint:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

OK to leave a message on home phone?

yes
no

OK to leave a message on daytime phone?

yes
no

Where/Who is the problem?

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
E-mail

What is the nearest cross street or intersection to this address?


Describe the property where the animal(s) are located -- color, name of development or complex, etc.?


Describe the abuser -- male/female, height/weight, hair color/length, identifying tattoos or scars?


What type of animals are involved? Mark all that apply:

Dogs
Cats
Horses
Other

How many total animals are involved?


Describe the animal(s) -- species, breed if known, color, size, etc.:


Where on the property are the animals located?


Please mark all that apply:

Animals DO NOT have access to clean water
Animals DO NOT have access to food
Animals DO NOT have access to shelter
Animals appear to be underweight
Animals appear to be injured
Animals appear to have been abandoned
I have witnessed the animals being abused

When did the abuse take place?


Please describe your observations of the neglect or abuse:




Copyright © 2003 Capital Area Humane Society.   All rights reserved.
Revised: 11/05/09