Date Lost Report is Being Submitted *

MM

DD

YYYY

Date Your Dog Went Missing *

MM

DD

YYYY

Owner's Name *

First Name

Last Name

Owner's Phone Number *

Please provide a phone number where we can reliably reach you. This is how we will reach out if there is a potential match to your missing dog.

(###)

###

####

Owner's Home Address

Please provide us with your home address. This will help with the redemption process should your missing dog come to CRHS.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Is Your Dog's Gender? *

Please make sure to accurately select the gender for your missing pet. If they have been spayed or neutered be sure to choose that option as it will increase the likelihood of CRHS making a match.

Male

Male- Neutered

Female

Female- Spayed

How Old is Your Dog? *

Please select the age range that correctly matches your missing dog. Correctly identifying an age range will increase the likelihood of CRHS making a match.

Puppy (Under 1 Year Old)

Adult (1-7 Years Old)

Senior (7+ Years Old)

Is Your Dog Microchipped? *

Yes

No

Unsure

If Someone Reaches Out Saying They've Found a Pet That Matches The Description of Your Missing Dog May We Share Your First Name and Phone Number With The Finder? *

Indicating that we may share this information in the event someone has found a dog matching the description of your missing pet you will help prevent the dog from coming to the shelter.

Yes

No

Is Your Dog Up to Date on Its Rabies Vaccination? *

Yes

No

Unsure

Is Your Dog Licensed With Your Municipality? *

Yes

No

Unsure