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RUFF - LOST DOG e-Form

THE DOG'S INFORMATION
What is the dogs name?
 
Date Lost:
 
Type/Breed of dog: (Please do not put Mutt or Mixed)
 
Address where the dog was last seen: (Include City State Zip)
 
What major street or landmarks are near where the dog was lost?
 

Is the dog spayed or neutered?
What is the dog's gender?
Long/Short Hair:


Dog Color(s):
 
Dog's Weight (lbs):
 
Approx. Age
 
Any special markings?

What is/are the special markings? (Careful with this question because it can help find him/her)  
Tail Type:

Ear Type:



Is there a Microchip?


What was the last known condition of the dog?

 
Was the dog wearing a collar or other forms of ID?


Describe the collar (Type/color) Or other form of ID:

 
Was there a/any tag(s) or a Microchip ID number that you know?



Check each tag the dog has?

Personal ID Tag Information:

 
What is the Micro chip number and Maker, if known?

 
Year on rabies tag, and Vet if known?

 
Describe the other tag:

 

Do you have a fence?

Was it left open?

How did the dog get lost? What happened?

 
Has the dog ran away before?


Where was the dog found?

 

Is there anything special that the dog likes or dislikes?

What is/are the special likes or dislikes?

 
How long have you had this dog?
 

THE OWNER'S INFORMATION

Owner's First Name:

 
Owner's Last Name:
 
Owner's Address:
 
City:

 
State:

 

Owner's Email Address:

 
Home Phone:
 

Cell Phone:  

Do you have a vet?

What is the vet's name?

 
Click here , If you would like to make a donation at this time.

Image Uploader (to Server)
If you currently have a photo that you can upload, please add it below. If not, in order to help the dog, we would appreciate a digital photo emailed to janice@911ruff.org as soon as one is available.

Image: