Test Lost Dog Reporting Form

Date Submitted*

MonthDayYear

City Where Lost*

AZ Zip Code*

Closest Intersection (do not indicate your house address)*

Dog's Name*

Gender*

MaleNeutered MaleFemaleSpayed Female

Breed of Dog*

Date Lost*

MonthDayYear

County where lost*

Area Lost:*

UrbanSuburbanRural

Color or Markings*

Age*

Age Unit*

weeksmonthsyears

Weight*

in lbs

Dog's Demeanor*

FriendlyShy/Timid

Dog was :

Any information on how lost, description information.*

Contact's Name*

Contact's Phone Number*

Alternate Phone

Contact's Email address*

Alternate Email

How did you hear about Lost Dogs Arizona?

Explain

Picture of Dog - A good picture, preferably a full body of your dog is important for flyers and on our posts. Please crop out any distractions such as people, children furniture and other dogs. ( less than 2000kb)*

Upload a File

PLEASE NOTE: Your dog’s photo and information will be posted once on LDA’s Facebook page; will be placed in the appropriate missing album and kept in our system.

Notice of Privacy

Please be informed that by posting to the Lost Dogs Arizona Facebook page and/or requesting that a message regarding your missing pet or a pet you have found be posted, you are giving your consent to make certain private information available for public viewing and are acknowledging that you are the owner. If you are not the owner, you acknowledge that you have permission/consent from the owner to submit this form. This would include photo, name, phone number and/or email address. (Note: Lost Dogs Arizona is collecting this information, not FaceBook and FaceBook will not receive any of this information. FaceBook requires we make this disclaimer.)

Note: Any advice or suggestion made by Lost Dogs Arizona is not paid-for professional advice and should be taken at owner's discretion.

LOST DOG FORM (you are the owner)