Maine Lost Dog Recovery - Lost Dog Report

Maine Lost Dog Recovery - Lost Dog Report
Date submitted

MonthDayYearHourMinutesAM/PM Option
How many dogs are missing? A SEPARATE FORM AND PHOTO FOR EACH DOG MUST BE SUBMITTED!*
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Date Dog was Lost:*

MonthDayYear
Is this dog a new adoption / rescue? (ONE MONTH OR LESS)*
If new adoption or rescue, please provide the name of the shelter or rescue. (Write other if neither)*
How long has this dog lived with you? (Add additional comments below in the DETAIL box)*
Dog's Name:*
Breed of Dog*
Dog's Age*
(eg. 1 yr & 6mos)
Street / Closest Intersection where lost*
City/Town where lost*
Zip Code *
County *
Area where lost*

UrbanSuburbanRural
Gender*
Color or markings*
Dog's weight*
Dog was: check appropriate box*

MicrochippedTattooedWearing collarDragging leash, tetherWearing Name Tag with Tel. NumberWearing Current Rabies TagNo ID,Tags,Collar or Microchip
Dog's Demeanor (if you check aggressive, complete the next section)*

FriendlyShyAggressive (complete below)
If you checked aggressive above, please explain circumstances here
Please describe in DETAIL the circumstance under which your dog was lost and any DETAILS that you think may help to identify your dog. BE SPECIFIC*
Contact 's name:*
Contact's E-mail*
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Owner's Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please upload a picture of your dog below. A full body shot is best. Pictures are very important for flyers and our facebook posts. If you have any issues with the upload feature - please send us an email at mainelostdogrecovery@gmail.com. Thank you!
Please upload a picture of the lost dog

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Click the "Submit" button below to send form.

PLEASE REMEMBER to add mainelostdogrecovery@gmail.com to your contact list so that all communication will go directly to your "INBOX"
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Should be Empty: