911RUFF.org Lost Dog Form

Please fill out this form to report a lost dog.

Where did you get this dog? *
What is the dog's name?
Date Lost: / MM / DD YYYY
Type/Breed of Dog (Please, Do NOT Put Mutt or Mixed):
Address where the dog was last seen:
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
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)
Approximate Age:
Any special markings? Yes No
If yes, what is/are the special markings? (Be 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 Not Sure
What was the last known condition of the dog?
Was the dog wearing a collar or other forms of ID? Yes No
If yes, describe the collar (type/color) or other form of ID:
Was/were there a/any tag(s) or a Microchip ID number that you know? Yes No
Check each tag the dog has: Personal ID Tag Microchip Tag Rabies Tag Other
Personal ID Tag Information:
What is the Microchip 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
If yes, 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?
Owner's Name * First Last
Owner's Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Owner's Email *
Owner's Home Phone * - (###) - ### ####
Owner's Cell Phone - (###) - ### ####
Do you have a vet? Yes No
If yes, what is the vet's name?
If you have a photo of the dog that you can upload, please upload it below. If not, as soon as one becomes available, please email it to janice@911ruff.org
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