Survey - Online Cruelty Report

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Question - Required - Nearest Major Intersection

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Question - Required - Suspect Address

Question - Not Required - Apartment Number

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Question - Required - Suspect City

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Question - Required - Suspect State

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Question - Required - Suspect Zip Code

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Question - Required - Suspect County

Question - Not Required - Apartment Complex Name or Subdivision Name

Question - Not Required - Gate Code (if required)

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Question - Required - What is the Major Concern

Question - Not Required - If you selected OTHER as your main concern, please describe in detail.

Question - Not Required - Additional Concerns or multiple violations

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Question - Required - Animal Type(s)
Please make between 1 and 6 selections from the choices below.

	Cat
	Dog
	Horse
	Cattle
	Bird
	Other

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Question - Required - Breed(s)

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Question - Required - Color(s)

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Question - Required - Quantity

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Question - Required - Location of Animal(s) on the property

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Question - Required - Timeframe of offense

It is optional to provide us with the following information. Please note that if you choose to file an anonymous report, our investigations team will be unable to provide you with a follow up/status report on the case.


	First Name:
	Last Name:
	Email:
	Street 1:
	Street 2:
	City:
	State / Province:
	ZIP / Postal Code:
	Phone Number:
	Yes, I would like to receive e-mail from Houston SPCA

Question - Not Required - Your Mobile Phone

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