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91 Ready Ave N.W. Fort Walton Beach, FL 32548
911 Ruff Hours of Operation: 10am - 7pm, 7 Days-a-week
[ Lost Dog Form ]
[ Found Dog Form ]
[ Turn-in Dog Form ]
[ Donate to our Thrift Store ]
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?
Yes
No
Unknown
What is the dog's gender?
Male
Female
Long/Short Hair:
Long
Short
Dog Color(s):
Dog's Weight (lbs):
Approx. Age
Any special markings?
Yes
No
What is/are the special markings? (Careful with this question because it can help find him/her)
Tail Type:
Long
Short
Ear Type:
Floppy
Stand-Up
Cropped
Is there a Microchip?
Yes
No
What was the last known condition of the dog?
Was the dog wearing a collar or other forms of ID?
Yes
No
Describe the collar (Type/color) Or other form of ID:
Was there a/any tag(s) or a Microchip ID number that you know?
Yes
No
Check each tag the dog has?
Personal ID Tag
Micro chip Tag
Rabies Tag
Other
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?
Yes
No
Was it left open?
Yes
No
How did the dog get lost? What happened?
Has the dog ran away before?
Yes
No
Where was the dog found?
Is there anything special that the dog likes or dislikes?
Yes
No
What is/are the special likes or dislikes?
Is your dog mainly an Inside or Outside dog?
Inside
Outside
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?
Yes
No
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: