Cruelty/Neglect Reporting Form Page

I have read all of the information on the preceding page regarding spotting the signs, and the report of animal neglect/cruelty : *
It is possible to file an anonymous report, but please consider providing your information. The case is more likely to be pursued when there are credible witnesses willing to stand behind the report and, if necessary, testify in court.
Please do not call for a follow up on your report. You will be contacted in the event additional information is needed. Thank you for caring about the animals of Chautauqua County.
Your Full Name:
Your Full Address:
Your Phone Number:
Your Email:
Please be as detailed as possible in your responses
Date of incident:
Did you personally witness the complaint?:
Complete description of what you observed including type of animal involved and other details such as breed,color,quantity,size,etc.:
Specific location of the animal in need of assistance (complete address, including town, if possible):
Current location of the animal at this address (back yard, pasture, etc.):
Name of the person(s) involved, if known:
Your relationship, if any, to the person(s) involved:
Description of the person(s) involved:
Any additional relevant information:
Do you have any photos? (You may attach multiple photos):