Longmont Humane Society
Lost Pet Report
Date Lost (M/D/YYYY)
City Lost
Location Lost
(give closest major intersection)
Pet Description
Type
Alligator
Bird
Chinchilla
Frog
Ferret
Gerbil
Guinea Pig
Hamster
Iguana
Lizard
Mouse
Rabbit
Rat
Snake
Turtle
Other
Other
Name
Breed
Age
Young Adult
Adult
Older
Size
XS
S
M
L
XL
XXL
Gender
Female
Male
Color
Markings
Collar (if applicable)
Yes
No
Color
Style
Comments
Owner Contact Information
Fields labeled with a red asterisk (
*
) are required. At least one telephone number is required in order that we may contact you regarding your lost pet. If you supply an email address, you will receive a copy of the report for your records.
First Name
*
Last Name
*
Address
*
Email
City
*
Zip
*
Home Phone
*
Cell/Work Phone
*
Alternate Contact
Phone
