REPORT
ABUSE

Please complete the form below to report animal abuse in your community

NOTICE

THE SPCA OF POLK COUNTY ARE NOT RESPONSIBLE FOR INFORMATION SUBMITTED.

THOSE SUBMITTING THIS FORM UNDERSTAND THAT THE SPCA OF POLK COUNTY ARE PROVIDING A SERVICE TO DIRECT INFORMATION TO THE RELEVANT AUTHORITIES AND ARE NOT RESPONSIBLE FOR OUTCOMES OR FOLLOWING UP ON CASES.

YOU UNDERSTAND THAT YOU SHOULD CONTACT YOUR LOCAL AUTHORITIES REGARDLESS OF COMPLETING THIS FORM.

WHAT IS ANIMAL CRUELTY

ABUSE INCIDENT REPORT

YOUR INFORMATION

First name

Last name

Phone

Address

INCIDENT INFORMATION

Have you contacted local authorities?

Yes

You must contact local authorities directly to report abuse

Date and time of incident

Month

Day

Year

Time

HoursMinutes

Description of incident

Address/location of incident

Please provide an exact address or near location with clear directions.

Animal involved in incident

Breed of animal (if known)

Size of animal

Location of animal

ie. backyard, in house, garage etc.

Name of suspected abuser (if known)

Name of animal owner (if known)

Additional information (if required)

File upload

I understand by submitting this information, it will be shared with the SPCA of Polk County and local authorities, who may contact me

I understand that the SPCA of Polk County cannot be held liable for information submitted to authorities that may be used or shared without their knowledge.

I understand that the SPCA of Polk County are only providing a courtesy service to share information in this form with the relevant local authority and that I have or intend to contact them directly to report the incident.

REPORT ABUSE

NOTICE

ABUSE INCIDENT REPORT

REPORT
ABUSE