Lost Pet Report

Douglas County Animal Care & Services 921 Dump Rd. Gardnerville, NV 89410 (775) 782-9061
Date Reported*	Date Missing*
Pets Name	Age	Weight
Sex* --Select One--MaleFemale	Spayed/Neutered* --Select One--YesNo
Breed (list top two if mix)*
Color(s) & Other Details*
Where was the pet last seen?*
Collar/Leash - Describe	License #
Rabies Tag #	Microchip #
Owner Information
First Name*	Last Name*
Address
City	State	Zip
Home Phone*	Work Phone	Cell Phone
Veterinarian's Name		Veterinarian's Phone
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