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2. If an animal is in a hot car or in immediate danger, stop filling out this form and call 410-535-1600, ext. 2526 immediately.

   
   

   This form submission is monitored weekly. For emergencies, general complaints or other issues, please call 410-535-1600, ext. 2526 to report a problem.

4. First Name*
5. Last Name*
7. Email*
8. Phone Number*
10. Cruelty Location*
12. City*
13. State*
14. Zip*
16. Type of Animal
18. Incident Date
19. Did you witness the abuse?

    1. Yes

    1. No
21. Type of Cruelty

    1. Neglect
    2. Abuse
    3. Inadequate shelter

    1. Abandonment
    2. Hoarding
    3. Lack of veterinary care

    1. Animal fighting
    2. Other
23. If other, please specify:
25. Please add any additional details you would like us to know:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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